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Laparoendoscopic single-site surgery for ureterolithotomy: focus on intracorporeal stenting and suturing

 Kyung Hwa Choi  ;  Seung Choul Yang  ;  Jae Won Lee  ;  Koon Ho Rha  ;  Woong Kyu Han 
 UROLOGY, Vol.76(6) : 1283-1287, 2010 
Journal Title
Issue Date
Adult ; Aged ; Equipment Design ; Female ; Follow-Up Studies ; Humans ; Laparoscopy/methods* ; Male ; Middle Aged ; Postoperative Complications ; Radiography ; Retrospective Studies ; Stents* ; Suture Techniques* ; Ultrasonography ; Ureteral Calculi/diagnostic imaging ; Ureteral Calculi/surgery*
OBJECTIVES: To describe a technique of laparoendoscopic single-site surgery (LESS) for ureterolithotomy, focusing on intracorporeal stenting and suturing. METHODS: From August 2009 to May 2010, 8 cases of LESS ureterolithotomy were performed by a single, experienced laparoscopic surgeon. The indications for LESS ureterolithotomy were a stone size of ≥15 mm, an impacted stone, intractable pain, or failure of previous treatment. All procedures were done using a platform homemade port device that was inserted through a 20-30-mm umbilical incision. We developed our own percutaneous stenting method and intracorporeal suture technique to suit the single port procedure. Additional ports and a stone retrieval bag were not needed. RESULTS: All LESS ureterolithotomies were performed successfully without any complications. The mean stone size was 17.4 mm (range 11-24), and the stones were located in the upper ureter in all 8 patients. The mean operative time was 155.3 minutes (range 102-227), and the estimated blood loss was 37.5 mL (range <10-150). The mean postoperative time to stent removal was 3.4 weeks (range 1-4). CONCLUSIONS: LESS ureterolithotomy using our technique was safe and effective, and the ureteral stenting and suturing techniques were a feasible alternative to those currently used for LESS.
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1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Yang, Seung Choul(양승철)
Lee, Jae Won(이재원)
Choi, Kyung Hwa(최경화)
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
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