[Retroperitoneoscopic ureterolithotomy].
Ureterolithotomy has an alternative which is much less invasive --retroperitoneoscopic ureterolithotomy (RU). Nineteen cases of RU are reported (15 males, 4 females). Thirteen patients have undergone RU as monotherapy, 5 patients--after ineffective sessions of extracorporeal shock wave lithotripsy, 1 patient--after contact ureterolithotripsy. Mean size of the stones was 12.8 (9.5-30) mm. All the stones were eliminated for one procedure. Duration of surgery in the first 5 operations was 1.5-2 hours, in subsequent ones--65-70 min. The number of bed-days varied from 2 to 10 days (4.2 days). One male had a postoperative attack of pyelonephritis which was treated with antibacterial drugs. RU is a safe and effective operation, it is justified when previous surgery was ineffective, in large, longstanding concrements of the upper and middle third of the ureter, monohydrate-oxalate concrements.
Teodorovich
O V
OV
Zabrodina
N B
NB
Galliamov
E A
EA
Kalaĭchev
O V
OV
D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007902:Length of Stay; D008096:Lithotripsy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000188:drug therapy / Q000209:etiology; D013997:Time Factors; D018666:Ureteroscopy / Q000379:methods; D052878:Urolithiasis / Q000150:complications / Q000473:pathology / Q000628:therapy*
D000900:Anti-Bacterial Agents