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복강경하 요관절석술: 요관결석 치료법으로서의 역할

Other Titles
 Laparoscopic Ureterolithotomy has a Role for Treating Ureteral Stones 
Authors
 이용성  ;  이동훈  ;  한웅규  ;  김형준  ;  양승철  ;  나군호 
Citation
 KOREAN JOURNAL OF UROLOGY, Vol.47(5) : 498-501, 2006 
Journal Title
KOREAN JOURNAL OF UROLOGY(대한비뇨기과학회지)
ISSN
 0494-4747 
Issue Date
2006
Keywords
Laparoscopy ; Urinary stone ; Ureter
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.
Files in This Item:
T200600978.pdf Download
DOI
10.4111/kju.2006.47.5.498
Appears in Collections:
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, Yong Seong(이용성)
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109938
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