KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI SAU PHÚC MẠC LẤY SỎI NIỆU QUẢN 1/3 TRÊN TẠI BỆNH VIỆN ĐA KHOA SỐ 2 LÀO CAI

Abstract

Objective: To evaluate early outcomes of retroperitoneal laparoscopic ureterolithotomy for upper ureteral stones at Lao Cai no 2 General Hospital. Methods: A retrospective descriptive study was conducted on 83 patients who underwent retroperitoneal laparoscopic ureterolithotomy from July 2022 to June 2024. Variables analyzed included age, gender, clinical symptoms, stone characteristics, hydronephrosis grade, operative time, intraoperative complications, postoperative complications, hospital stay, and early outcomes. Results: The mean age was 52.28 ± 12.78 years (14–85), with a male-to-female ratio of 1.78. The 41–50 age group accounted for 36.14%. The most common symptom was dull flank pain (72.29%), followed by renal colic (25.30%). Mean stone size on CT was 16.20 ± 3.08 mm in length and 8.57 ± 2.02 mm in width. All patients had hydronephrosis, with grade II predominating (59.0%). The mean operative time was 61.89 ± 9.86 minutes. The success rate was 98.80%, with one case converted to open surgery. Intraoperative complications were rare: peritoneal tear (1.20%) and subcutaneous emphysema (1.20%). Postoperatively, the mean drain removal time was 3.39 ± 1.76 days, and the mean hospital stay was 6.27 ± 2.04 days. Early complications occurred in 4.90% (urinary leakage 3.70%; fever 1.20%). Overall early success was achieved in 92.80% of patients. Conclusion: Retroperitoneal laparoscopic ureterolithotomy is a safe and effective method for the management of upper ureteral stones, with a high success rate, low complication rate, and suitability for provincial hospitals in mountainous regions.