Laparoscopic urinary stone surgery: an updated evidence-based review.
The treatment of urinary lithiasis has been revolutionized during the last three decades. Minimally invasive therapies in the form of endoscopic surgery in companion with the advent of shock wave lithotripsy have diminished the role of open stone surgery. Laparoscopy, another minimally invasive treatment, is continuously gaining place in the treatment of urinary stones, mainly replacing open surgery. We have tried to identify the level of the evidence and grade of recommendation, according to the evidence-based medicine criteria, in studies supporting the laparoscopic approach to stone extraction. The highest level of evidence (IIa) was found for laparoscopic ureterolithotomy. It is technically feasible with the advantage of being minimally invasive and having lower postoperative morbidity compared to open ureterolithotomy. It is mostly recommended (grade B) for large impacted stones or when endoscopic ureterolithotripsy or shock wave stone disintegration have failed. Laparoscopic pyelolithotomy is feasible but rarely indicated in the present era (III/B). Laparoscopic nephrolithotomy may be indicated to remove a stone from an anterior diverticulum or when PNL or flexible ureteroscopy have failed (III/B).
Skolarikos
Andreas
A
Department of Urology, School of Medicine, Sismanoglio Hospital, University of Athens, Athens, Greece.
Papatsoris
Athanasios G
AG
Albanis
Stefanos
S
Assimos
Dean
D
D019317:Evidence-Based Medicine; D006801:Humans; D010535:Laparoscopy; D014545:Urinary Calculi / Q000601:surgery*
Ann Urol (Paris). 1995;29(2):61-72
7646000
Int J Urol. 2008 Mar;15(3):276-8
18304232
Int J Urol. 2004 Jul;11(7):581-4
15242377
J Endourol. 1999 Dec;13(10):723-5
10646678
J Urol. 2003 Feb;169(2):480-2
12544292
J Endourol. 2001 Jun;15(5):525-8
11465333
J Urol. 1997 Feb;157(2):463-6
8996332
Prog Urol. 2009 Mar;19(3):221-5
19268263
Int J Urol. 2006 Mar;13(3):206-10
16643610
Int J Urol. 2008 Jul;15(7):593-7
18479354
J Endourol. 2009 Nov;23(11):1851-6
19619068
J Urol. 1998 Aug;160(2):352-5
9679875
J Endourol. 2004 Aug;18(6):557-61
15333221
J Endourol. 2007 Jan;21(1):50-4
17263607
J Urol. 2002 Mar;167(3):1248-52
11832707
Eur Urol. 2001 Jul;40(1):32-6; discussion 37
11528174
J Endourol. 2009 Nov;23(11):1857-62
19814700
Prog Urol. 2008 May;18(5):281-7
18538272
Urol Int. 2005;75(4):322-6
16327299
Urol J. 2007 Summer;4(3):138-41
17987574
J Endourol. 2008 Jun;22(6):1251-5
18578658
BJU Int. 2008 May;101(10):1293-6
18284405
Chang Gung Med J. 2000 Jan;23(1):28-32
10746407
World J Urol. 2010 Feb;28(1):99-102
19479265
J Endourol. 2000 Dec;14(10):829-32
11206616
Indian J Urol. 2009 Jan;25(1):140-2
19468448
J Urol. 2002 Mar;167(3):1378-80
11832737
J Endourol. 2009 Jun;23(6):953-7
19459753
J Korean Med Sci. 2006 Jun;21(3):441-4
16778386
J Urol. 1994 Jan;151(1):146-9
8254797
J Urol. 1994 Jan;151(1):122-4
8254787
J Laparoendosc Adv Surg Tech A. 1997 Apr;7(2):95-8
9459808
J Laparoendosc Adv Surg Tech A. 2005 Apr;15(2):149-52
15898906
J Endourol. 2002 Nov;16(9):655-7
12490018
Int Urol Nephrol. 2003;35(1):73-6
14620289
J Endourol. 2001 Sep;15(7):701-5
11697400
Actas Urol Esp. 2009 Jun;33(6):621-2
19711744
J Urol. 2004 Aug;172(2):680-3; discussion 683
15247760
BJU Int. 2001 Nov;88(7):679-82
11890236
J Endourol. 2009 Nov;23(11):1867-70
19811058
J Endourol. 1993 Aug;7(4):315-7
8252026
Urol Res. 2009 Oct;37(5):257-60
19572126
BJU Int. 2005 Dec;96(9):1365-8
16287459
J Pak Med Assoc. 2006 Aug;56(8):381-3
16967794
J Laparoendosc Adv Surg Tech A. 2002 Aug;12(4):299-303
12269502
Int Braz J Urol. 2005 Mar-Apr;31(2):111-6
15877829
J Laparoendosc Adv Surg Tech A. 1998 Dec;8(6):431-5
9916597
Urology. 2006 Apr;67(4):828-9
16584761
Prog Urol. 2008 Dec;18(12):948-51
19033058
Scand J Urol Nephrol. 2004;38(3):263-5
15204386
J Endourol. 1996 Oct;10(5):425-30
8905488
Prog Urol. 2001 Sep;11(4):752-6
11761704
Int Braz J Urol. 2009 Jan-Feb;35(1):9-17; discussion 17-8
19254393
Urology. 2008 Apr;71(4):578-80
18387386
Urology. 2001 Apr;57(4):644-9
11306369
Curr Opin Urol. 2006 Mar;16(2):106-11
16479213
BJU Int. 1999 Nov;84(7):765-9
10532968
Urol Res. 2006 Jun;34(3):163-7
16470391
Urology. 1992 Mar;39(3):223-5
1532102
J Endourol. 2005 Apr;19(3):353-9
15865527
JSLS. 1997 Apr-Jun;1(2):163-5
9876666
J Urol. 2003 Feb;169(2):691-6
12544344
Tech Urol. 1998 Mar;4(1):29-34
9568774
Surg Endosc. 2004 Jul;18(7):1151
15054649
World J Urol. 2006 Jun;24(2):198-201
16758250
Surg Laparosc Endosc Percutan Tech. 2006 Dec;16(6):435-6
17277663
Eur Urol. 2001 Dec;40(6):609-13
11805405
Br J Urol. 1994 Aug;74(2):170-6
7921933
J Laparoendosc Adv Surg Tech A. 2009 Aug;19(4):501-4
19670976
J Med Assoc Thai. 1999 Oct;82(10):1028-33
10561968
J Urol. 1994 Apr;151(4):927-9
8126827
Curr Opin Urol. 2001 May;11(3):287-91
11371782
Int Urol Nephrol. 2006;38(1):75-8
16502056
Urol Int. 2004;73(3):234-7
15539842
Urol Int. 2008;80(3):306-9
18480637
J Urol. 1985 Apr;133(4):671-3
3981721
Int J Urol. 2009 Sep;16(9):713-7
19674169