[Urolithiasis and laparoscopy. Treatment of ureteral stones].
Laparoscopy has been used to treat ureteral stones. This review highlighted that many of the publications are coming from centers of emerging countries. This seems to be due to big size of the stones and high cost of endoscopic procedures in these countries. Indications of laparoscopic ureterolithotomy are similar to those of open surgery and mainly consist in extracorporeal shock wave lithotripsy (ESWL) or endoscopic failure or wrong indications (big or impacted stones). Advantages of laparoscopic ureterolithotomy consist in a decrease analgesic requirement, a shorter hospitalize stay and a shorter recovery time. But, operative time remains higher than with open surgery. Complications such as urinary fistulae are decreased when ureteral suture is correctly performed or when a double-J ureteral stent is placed.
Saussine
C
C
Service d'urologie, hôpital Civil, 1, place de l'Hôpital, 67091 Strasbourg cedex, France. Christian.Saussine@chru-strasbourg.fr
Lechevallier
E
E
Traxer
O
O
D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D014514:Ureteral Calculi / Q000601:surgery*