Laparoscopic Stone Surgery: One Surgeon Experience

Abstract

Background: Laparoscopic stone surgery has some advantages in the anatomical anomalies, comcominant of ureteropelvic junction obstruction and stone, symptomatic stone of diverticulosis, impacted large renal and ureteral stones. The results of the patients’ characteristics and complications who underwent laparoscopic surgery were evaluated and presented. Methods: The patients who were treated by laparoscopic surgery from January 2014 to June 2016 for ureteral and kidney stone were reviewed retrospectively. Transperitoneal method was performed in all patients. In this method; near 1 cm from the umbilicus was incised for to access the abdomen. CO2 was used to create pneumoperitoneum. Operation time, duration of hospitalization, the complications were recorded during and after the surgery. Results: There are 2 female and 5 male patients. The mean age of the patients and stone size was 46.28 + 15.52 years and 25.28 + 5.17 mm respectively. Average hospital stay was 4 + 3.94 days. There was no major complications such as bleeding, injury to internal organs during surgery. One patient (% 14.28) was converted to open surgery. The mean operation time of the remaining patients was 152 + 57.61 minutes. The stone free rate was 100%. Double j stent was inserted into four patient during the operation and one patient in postoperative period. The patients who underwent pyelolithotomy did not need stent placement. Percutaneous nephrostomy was performed in one patients because of prolonged drainage and ureteral stricture (16.66%) was detected in postoperative period. Conclusions: Laparoscopic stone surgery has a high succes rate. The urologist who were taken basic training of laparoscopy can be performed succesfully.