Laparoendoscopic single-site surgery for ureterolithotomy: Focus on intracorporeal stenting and suturing

Kyung Hwa Choi, Seung Choul Yang, Jae Won Lee, Koon Ho Rha, Woong Kyu Han

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objectives To describe a technique of laparoendoscopic single-site surgery (LESS) for ureterolithotomy, focusing on intracorporeal stenting and suturing. Methods From August 2009 to May 2010, 8 cases of LESS ureterolithotomy were performed by a single, experienced laparoscopic surgeon. The indications for LESS ureterolithotomy were a stone size of <15 mm, an impacted stone, intractable pain, or failure of previous treatment. All procedures were done using a platform homemade port device that was inserted through a 20-30-mm umbilical incision. We developed our own percutaneous stenting method and intracorporeal suture technique to suit the single port procedure. Additional ports and a stone retrieval bag were not needed. Results All LESS ureterolithotomies were performed successfully without any complications. The mean stone size was 17.4 mm (range 11-24), and the stones were located in the upper ureter in all 8 patients. The mean operative time was 155.3 minutes (range 102-227), and the estimated blood loss was 37.5 mL (range <10-150). The mean postoperative time to stent removal was 3.4 weeks (range 1-4). Conclusions LESS ureterolithotomy using our technique was safe and effective, and the ureteral stenting and suturing techniques were a feasible alternative to those currently used for LESS.

Original languageEnglish
Pages (from-to)1283-1287
Number of pages5
JournalUrology
Volume76
Issue number6
DOIs
Publication statusPublished - 2010 Dec 1

All Science Journal Classification (ASJC) codes

  • Urology

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