Comparison of laparoscopic left ureterolithotomy between the middle colon and the lateral colon in the early stage of learning

Abstract

Objective To compare the efficacy of laparoscopic ureterolithotomy via the mid-colon approach and laparoscopic ureterolithotomy via the traditional lateral colon approach for inexperienced surgeons. Methods The data of 59 patients with left ureteropelvic junction stenosis admitted to Luoyang central hospital affiliated to Zhengzhou university from March 2014 to March 2018 were retrospectively analyzed. Thirty-two patients were treated by conventional lateral colon approach and 27 patients were treated by mesocolon approach. The perioperative results and follow-up data were compared between the two approaches. The operative time, intraoperative blood loss, postoperative intestinal function recovery, postoperative pain and so on were compared between the two groups. Results The operation time of the middle colon approach group was significantly shorter than that of the conventional side colon approach group(P 0.05). Conclusions The mesocolon approach is straight through the middle colon. Exposure to ureter can save the time needed for the free colon. Even for surgeons with limited experience, this method is safe and feasible, and has the same success rate as traditional lateral colon surgery. Key words: Ureteral Calculi; Laparoscopy; Lithotripsy