A profile of laparoscopic ureterolithotomy: four years initial experience at Persahabatan Hospital, Jakarta, Indonesia

Abstract

Introduction: The introduction of laparoscopy in the field of urology has advanced surgery into a minimally invasive era, achieving better perioperative outcomes and lower incidence of complications. This study reports on the profile of laparoscopic ureterolithotomy performed in Persahabatan Hospital, Jakarta.Method: This retrospective study examined laparoscopic procedures done during the years 2016-2019. Demographic characteristics, surgical duration, length of stay, perioperative parameters, and antibiotics prescribed were recorded.Result: A total of 30 cases were reported. The gender ratio was 2:1 (male to female), with a mean age of 54.2 ± 9.9. Twenty-two (73.3%) had proximal ureteric stone. Surgical duration and length of stay had means of 197.4 ± 46.1 minutes and 3.6 ± 1.1 days, respectively. The mean blood loss, preoperative and postoperative hematocrit was 40.5 ± 27.8 mL, 36.14% ± 5.73 and 35.76% ± 5.71, respectively. Mean preoperative and postoperative hemoglobin was 12.27 g/dL ± 1.84 and 12.12 g/dL ± 1.89, respectively. The mean postoperative pain VAS score was 2.1 ± 0.8. The most prescribed antibiotics for the procedure were cefoperazone (53.33%).Conclusion: Considerably short duration of operations and hospital stay comparable with other study findings were reported. This study can be applied as baseline data for further research.