A novel case of laparoscopic ureterolithotomy in a partial duplex ureteric collecting system: can open procedures still be justified in the minimally invasive era?
BACKGROUND
Impacted ureteric stones can pose a treatment challenge due to the high level of failure of ESWL and endourological approaches. Laparoscopic ureterolithotomy can provide a safe and successful alternative to these and open, invasive procedures.


METHODS
Interval laparoscopic ureterolithtomy was carried out following placement of a percutaneous nephrostomy. This was performed through an trans-peritoneal approach with the ureterotomy closed by intracorporeal suturing and placement of a JJ stent without the need for an abdominal wound drain.


CONCLUSIONS
Laparoscopic ureterolithotomy is a safe, minimally invasive method of managing large, impacted ureteric stones with minimal associated patient morbidity.
Department of Urological Surgery, St. Vincent's University Hospital, Dublin 4, Republic of Ireland. fok101@gmail.com
F
F
O'Kelly
P
P
Nicholson
J
J
Brennan
A
A
Carroll
S
S
Skehan
D W
DW
Mulvin
D004927:Escherichia coli Infections; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D015607:Stents; D014513:Ureter / Q000601:surgery*; D014514:Ureteral Calculi / Q000601:surgery*; D014517:Ureteral Obstruction / Q000601:surgery*