복강경하 요관절석술: 요관결석 치료법으로서의 역할
Laparoscopic Ureterolithotomy has a Role for Treating Ureteral Stones
이용성, 이동훈, 한웅규, 김형준, 양승철, 나군호,
소속 상세정보
이용성 ( Lee Yong-Seong )
연세대학교 의과대학 비뇨기과학교실
이동훈 ( Lee Dong-Hoon )
연세대학교 의과대학 비뇨기과학교실
한웅규 ( Han Woong-Kyu )
연세대학교 의과대학 비뇨기과학교실
김형준 ( Kim Hyung-Joon )
연세대학교 의과대학 비뇨기과학교실
양승철 ( Yang Seung-Choul )
연세대학교 의과대학 비뇨기과학교실
나군호 ( Rha Koon-Ho )
연세대학교 의과대학 비뇨기과학교실
KMID : 0358320060470050498
Abstract
Purpose: Shock wave lithotripsy(SWL) and ureteroscopy are used to successfully manage the majority of ureteral stones. However, some large and impacted ureteral stones still require surgery. Laparoscopic ureterolithotomy has emerged as a feasible treatment option for the patients with large and impacted ureteral stone.
Materials and Methods: Between December 2004 and October 2005, laparoscopic ureterolithotomy was performed in 12 patients who required surgical treatment. In four patients, laparoscopy was carried as a salvage procedure after failed SWL, and laparoscopy was performed in seven patients as a primary procedure for treating large and impacted stones. The mean stone size was 16mm(range: 8-28).
Results: All the procedures were completely laparoscopically, and all the patients were rendered stone-free after a single procedure; no complications were encountered. The mean operative time was 132.5 minutes (range: 60-220), and the mean estimated blood loss was 100ml(range: 50- 150). The mean postoperative hospital stay was 4.3 days(range: 2-7).
Conclusions: Laparoscopic ureterolithotomy can be a safe and effective treatment for large and impacted stones. In selected cases, it should be considered as a primary procedure for large and impacted ureteral stones that are located at the mid and upper levels of the ureter, including renal pelvic stones. (Korean J Urol 2006;47:498-501)
키워드
Laparoscopy;Urinary stone;Ureter
원문 및 링크아웃 정보
등재저널 정보