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001-es BibID:BIBFORM102401
Első szerző:Flaskó Tibor (urológus)
Cím:Laparoscopic Ureterolithotomy : the Method of Choice in Selected Cases / Flasko Tibor, Holman Endre, Kovacs Gabor, Tallai Bela, Toth Csaba, Salah Morshed A.
Dátum:2005
ISSN:1092-6429
Megjegyzések:Objective: To evaluate retrospectively the results and complication, efficacy, and safety rates of laparoscopic ureterolithotomy in the treatment of large, impacted ureteric stones. Materials and Methods: Between September 1994 and December 2003, 73 patients underwent 75 laparoscopic ureterolithotomies (LUL). Mid- and upper-ureteric stones were removed retroperitoneally in 69 cases (92%). Lower ureteric stones were removed transperitoneally in 6 cases (8%). There were 2 (3%) bilateral LULs in one session, 7 (10%) ipsilateral percutaneous nephrolithotomy, and 6 (8%) ipsilateral ureteroscopy in the same session. The mean age of the patients was 39 years (range, 15?70 years). Mean stone size was 25 mm (range, 12?55 mm). Results: The success rate was 98.7%, with 1 patient (1.3%) requiring conversion to an open procedure. There were no major complications. Mean operative time was 45 minutes (range, 15?100 minutes). Postoperative analgesic medication was required for 1 day in 39 patients (52%). The postoperative hospital stay ranged from 2 to 5 days (mean, 3 days). Conclusion: On the basis of our experience, laparoscopic ureterolithotomy is a safe and effective method for the treatment of large, dense, and impacted ureteric stones. In selected cases it can be the first choice of treatment.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
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Megjelenés:Journal Of Laparoendoscopic & Advanced Surgical Techniques. - 15 : 2 (2005), p. 149-152. -
További szerzők:Holman Endre Kovács Gábor Tállai Béla (1970-) (urológus) Tóth Csaba (1940-) (urológus, sebész) Salah, Morshed Ali (1965-) (urológus)
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