DOI: 10.36347/sjams.2019.v07i04.013

Pages: 1430-1435

Objectives: To compare and analyze the result of laparoscopic retroperitoneal ureterolithotomy with ureteroscopic laser lithotripsy for the management of upper and middle ureteric stone. Material and Methods: This study comprised of 60 patients who has isolated unilateral upper and middle ureteric calculus & were subjected to removal of stone. Thirty (30) patients were undergoing Laparoscopic Retroperitoneal Ureterolithotomy (Group A) and thirty (30) patients were undergoing ureteroscopic laser lithotripsy (Group B). Results: Sixty patients (Group A 30, Group B 30) met inclusion criteria. Among the patient who underwent Laparoscopic Retroperitoneal Ureterolithotomy (LRU), 100% patients had complete clearance of calculus. Among the patient who Underwent Ureteroscopic Laser Lithotripsy (URSL), 86.6% had complete clearance of calculus and 13.3% of patients had incomplete clearance of calculus. Among the patients who underwent Laparoscopic Retroperitoneal Ureterolithotomy, 6.7% patient s had urinary leak, 6.7% patient had inadvertent entry into peritoneum, 3.3 % patients had subacute emphysema and 83.3% of patient had no complication. Among the patient who underwent Ureteroscopic Laser Lithotripsy, 10% of patient had fever, 3.3% of patient had ureteric perforation intraoperatively and 86.7% patient had no complication. Conclusions: Comparing Laparoscopic Retroperitoneal Ureterolithotomy with Ureteroscopic Laser Lithotripsy for the management of upper and middle ureteric calculus we had results that, both the procedure are complimentary to each other. For bigger and impacted stone laparoscopic retroperitoneal ureterolithotomy is better procedure as there is no chance of residual stone. For smaller and non-impacted stone ureteroscopic laser lithotripsy is better procedure as it is intracorporeal procedure, with less morbidity, lesser operative time and lesser hospital stay.