title: Comparison of ureteroscopic laser lithotripsy with laparoscopic ureterolithotomy for large proximal and mid-ureter stones.
abstract: OBJECTIVE
  To compare the effectiveness and complications of ureteroscopic laser lithotripsy with laparoscopic ureter laparoscopic ureterolithotomy in mid- or proximal portion of large ureteral stones.
  
  
  METHODS
  We reviewed patients with large (>15 mm) ureteral stone and those who underwent ureteroscopic laser lithotripsy (URS group) or laparoscopic ureterolithotomy (LU group). The first attempt was considered successful in patients who had residual fragments smaller than 2 mm and no conversion of the primary procedure to another.
  
  
  RESULTS
  Sixty patients (URS group 29, LU group 31) met inclusion criteria. FURS was used as an adjunctive procedure in one patient for URS group and in two patients for LU group in the same season. LU had a higher success rate and the first-day stone-free rate when compared with URS. Number of procedures was also significantly higher in URS group. There was no difference in stone-free rates at the first and third months, and length of hospitalization and operation were higher in the LU group. Only two patients in the LU group and one patient in the URS group had major complications.
  
  
  CONCLUSIONS
  Laparoscopy is an effective option of large proximal and mid-ureter stone treatment; however, URS provides similar stone-free rates at three months as a minimal invasive procedure.
authors: Onur
authors: O
authors: Kaygısız
authors: Burhan
authors: B
authors: Coşkun
authors: Hakan
authors: H
authors: Kılıçarslan
authors: Yakup
authors: Y
authors: Kordan
authors: Hakan
authors: H
authors: Vuruşkan
authors: Gökhun
authors: G
authors: Özmerdiven
authors: İsmet
authors: İ
authors: Yavaşcaoğlu
mesh_terms: D000368:Aged; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D017602:Lithotripsy, Laser / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000209:etiology; D013997:Time Factors; D016896:Treatment Outcome; D014421:Turkey; D053039:Ureterolithiasis / Q000175:diagnosis / Q000601:surgery*; D018666:Ureteroscopy / Q000009:adverse effects / Q000379:methods*