Laparoscopic Ureterolithotomy versus Laser Lithotripsy in Management of Upper Ureteric Stones A Prospective Randomized Comparative Clinical Study

Abstract

Abstract We found Operation was successfully performed in all 80 cases, and no open surgery was converted in any case. In the ureteroscopy and laparoscopy groups, the mean operating time was 33.83 ± 6.39 min and 107.25 ± 20.13 min, respectively, their hospitalization time was 1.65 ± 0.48 days vs. 3.90 ± 0.63days, and stone clearance rate was 88.00% (32/40) vs. 95% (38/40), and residual stones were removed by extracorporeal shock-wave lithotripsy (ESWL). All patients were followed up for more than three months, and no major complications occurred. We concluded that Laparoscopic ureterolithotomy and ureteroscopy are both effective and reliable for the treatment of proximal ureteral stones. However, considering the shorter operation and hospitalization times we suggest that ureteroscopy, as a minimally invasive method, may be the first choice in the treatment of proximal ureteral stones.