Role of Retroperitoneal Laproscopic Surgery in Ureteric Calculus - An Experience from Bundelkhand Region

Abstract

Background: Urolithiasis is the aggregation of crystals in the urine, most commonly composed of calcium oxalate. Laparoscopic procedures have higher stone clearance in comparison of ESWL, URS and PCNL. Aims and objective: The aim of the current study was to analyze the feasibility of laparoscopic retroperitoneal surgery for management of urolithiasis and to investigate that the minimal invasive surgery is an alternative technique in current era of endoscopic procedure. Materials and Methods: A total of 52 patients with urolithiasis were enrolled and all were treated with laparoscopy. All stones were taken out after ureterotomy without fragmenting the stone. Results: 28 were male and 24 were female patients from 52 enrolled patients. Patient’s age was 31.4 ± 29.81 years of age. Out of 52 patients 28 had stone on right side and 24 were from left side. Size of the stone 16.2 ± 11.11 mm. Total operation time was 48 ± 19.08 min. Procedure was performed usually with 3 ports. Post-operative stay was 3 to 9 days. Proximal migration of stone, urinary leakage, ureteric stricture and conversion to open surgery were complications found during the study. Conclusion: Laparoscopic retroperitoneal surgery for urolithiasis is a safe and good alternative for open surgical procedure and can be performed at primary healthcare units.