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Irish Journal of Medical Science

, Volume 182, Issue 3, pp 519–522 | Cite as

A novel case of laparoscopic ureterolithotomy in a partial duplex ureteric collecting system: can open procedures still be justified in the minimally invasive era?

  • F. O’Kelly
  • P. Nicholson
  • J. Brennan
  • A. Carroll
  • S. Skehan
  • D. W. Mulvin
Brief Report
  • 80 Downloads

Abstract

Background

Impacted ureteric stones can pose a treatment challenge due to the high level of failure of ESWL and endourological approaches. Laparoscopic ureterolithotomy can provide a safe and successful alternative to these and open, invasive procedures.

Methods

Interval laparoscopic ureterolithtomy was carried out following placement of a percutaneous nephrostomy. This was performed through an trans-peritoneal approach with the ureterotomy closed by intracorporeal suturing and placement of a JJ stent without the need for an abdominal wound drain.

Conclusion

Laparoscopic ureterolithotomy is a safe, minimally invasive method of managing large, impacted ureteric stones with minimal associated patient morbidity.

Keywords

Laparoscopic Ureterolithotomy Duplex kidney Minimally invasive 

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Copyright information

© Royal Academy of Medicine in Ireland 2013

Authors and Affiliations

  • F. O’Kelly
    • 1
  • P. Nicholson
    • 1
  • J. Brennan
    • 1
  • A. Carroll
    • 2
  • S. Skehan
    • 2
  • D. W. Mulvin
    • 1
  1. 1.Department of Urological SurgerySt. Vincent’s University HospitalDublin 4Republic of Ireland
  2. 2.Department of Diagnostic and Interventional RadiologySt. Vincent’s University HospitalDublin 4Republic of Ireland

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