stone in laparoscopy 2025 renal and ureter.pptx

stone in laparscopy 2025 renal and ureter

1. Laparoscopy in stone mangement Prof.Dr . Ahmed Sebaey Benha university

2. Indication for laparoscopic stone extraction Ureteral stones not amenable to existing minimally invasive modalities.

3. Indication for laparoscopic stone extraction Stone in a pelvic kidney. Stone in a horse shoe kidney pelvic stone with extra renal pelvis with Failure of minimally invasive modalities

4. Technical details transperitoneal approach Retroperitoneal approach

5. Technical details

6. To suture or not to suture Leak: stented/suture : 3.2 days Leak: ureter open/unsutured: 7.1 days

7. open conversion Stone slipped up Dense fibrosis bleeding

8. What is the complications? Gross surgical emphysema Hypercarbia Bleeding Ureteral avulsion Colonic perforation

9. Conclusions It is suitable , safe and effective procedure for ureteral calculi for patients with complex stones or anatomic abnormalities and provides the highest SFR in the treatment of ureteral calculi. Laparoscopic pyelolithotomy can be done safely, effectively, and efficiently with proper patient selection and adherence to standard laparoscopic surgical principles.

10. THANK YOU