AI Article Synopsis
- LESS is a minimally invasive surgical method for ureterolithotomy through a single umbilical incision, which is effective when other treatments fail.
- A 29-year-old woman with a 1.2 cm ureteral stone underwent this procedure after previous treatments failed, involving the extraction of the stone and suturing of the ureter without complications.
- The operation took 180 minutes with minimal blood loss, no complications, and resulted in a quick recovery with little visible scarring, highlighting the technique's safety and cosmetic benefits.
Article Abstract
Introduction: laparoendoscopic single-site surgery (LESS) using transumbilical access and conventional laparoscopic instruments is a very attractive alternative to perform ureterolithotomy for ureteral stone with failed endourological management.
Material And Method: a 29-year-old woman presented with chronic right lumbar pain and a 1.2 cm impacted calculus localized at transition of abdominal to pelvic ureter. Semi-rigid ureteroscopy had failed to fragment the stone and shockwave lithotripsy was not available. Double-J ureteral catheter had been inserted preoperatively. We performed a transumbilical single-incision laparoscopic ureterolithotomy. Three conventional trocars were inserted in a single semi-circular umbilical incision. Right colon was detached and the ureter was identified. Calculus was extracted and the ureteral incision was closed with intracorporal sutures.
Results: ureterolithotomy was successfully completed, with all the operative steps performed transumbically. Operative time was 180 minutes. No single-port device or articulating and bent instruments were utilized. Estimated blood loss was less than 50 mL. No intraoperative, access-related and postoperative complications took place. The duration of hospitalization was 24 hours and scarless appearance was observed on postoperative day 15.
Conclusion: transumbilical single-incision laparoscopic ureterolithotomy is feasible and safe. This approach offers an inherent cosmetic advantage and few postoperative discomfort. Additional experience and continued investigation are warranted.
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| http://dx.doi.org/10.1016/j.acuro.2010.04.015 | DOI Listing |
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