LAPAROSCOPIC URETEROLITHOTOMY FOR URETERAL STONES AT HANOI MEDICAL UNIVERSITY HOSPITAL

Quốc Hòa Trần , Xuân Yên Đậu

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Abstract

Objective: Evaluate the results of retroperitoneal laparoscopic ureterolithotomy for ureteral stones at Hanoi Medical University Hospital. Research subjects and methods: cross-sectional, retrospective description of 40 patients with confirmed diagnosis of ureteral stones and retroperitoneal laparoscopic surgery to remove stones at Hanoi Medical University Hospital from January 2020 to November /2023. Results: 40 patients included 31 men (77.5%) and 9 women (22.5%). The average age was 54.18 ± 9.82 years old. (37 – 72 years old). Average surgery time was 70.0 ± 23.5 minutes. 100% success. Complications during surgery: 2 patients with peritoneal tear (5.0%), 1 patient with gonadal vein bleeding (2.5%), 2 patients with subcutaneous emphysema (5.0%). The average number of days in the hospital after surgery was 3.52 ± 1.1 days. Early complications after surgery: 1 patient had urine leakage, 1 patient had bleeding through drainage in a patient who restarted anticoagulation early. Conclusion: Laparoscopic retroperitoneal surgery to remove ureteral stones is a minimally invasive, safe and effective method for upper 1/3 and middle 1/3 ureteral stones.

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References

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