Management of a Lost Stone During Laparoscopic Ureterolithotomy: Video Article

Journal Title: Translational Research in Urology - Year 2021, Vol 3, Issue 1

Abstract

Introduction Laparoscopic ureterolithotomy (LU) is a viable option for large ureteral stones (1, 2). The lost stone during laparoscopy is a rare event and most reports are in gallstone surgeries. Most experts recommended that the lost gallstone should be extracted from the abdominal cavity to prevent abscess formation but in laparoscopic ureterolithotomy with lost stone, the optimal management is controversial (3-5). We report our experience with a lost ureteral stone during laparoscopy and the technique that was successful to find it. Case presentation The patient was a 28-year-old man, who presented with a 22 millimetre stone in the proximal part of the left ureter. The spiral computed tomography scan revealed severe hydronephrosis. The patient was positioned on the left flank and the camera port was inserted in the lateral border of the rectus muscle then two 5 mm working ports were inserted in the left upper quadrant and left lower quadrant, respectively. The ureterolithotomy process was performed uneventfully with Double-J stent insertion, but during the extraction of the stone from the 10 mm port, the stone was lost in abdominal space due to rupture of our endobag (which was a finger of a surgical glove). We extract the lost stone by stepwise searching the dependent part of the abdominal cavity and found the stone in the dependent part of the right lower quadrant. The operative time was 165 minutes. The patient had no complications in the Post-operative course, the Foley catheter was removed on postoperative day 2 and the drain was removed on postoperative day 3. The patient was discharged home on post-operation day 4 and the stent was removed four weeks later. Conclusions We believe that any effort should be performed to extract lost stone in laparoscopic ureterolithotomy cases due to the potential risk of abscess formation and the probability of misleading imaging in the future follow-up of patients.

Authors and Affiliations

Alimohammad Fakhr Yasseri, Abdolreza Mohammadi, Seyed Mohammad Kazem Aghamir

Keywords

Related Articles

Antegrade Urethral Approach for Urethral Stricture in Patients with Previous Failed Retrograde Intervention

Introduction Urethral stricture has challenging difficulties in its treatment. Various treatment modalities had been used e.g.; urethral dilatation is one of the oldest methods. Severe bleeding and several false passage...

Knockout Serum Replacement as a Substitute for Exosome Free Serum

Exosomes, extracellular vesicles secreted from cells, are carriers containing proteins, lipids, and nucleic acids. By adhering and releasing their contents to the recipient cells, exosomes play a major role in cellular c...

Homeostatic Efficacy of Microporous Polysaccharide Hemosphere in Post-Operative Complications Reduction of Tubeless Percutaneous Nephrolithotomy

Introduction Current hemostatic agents are needed to reduce bleeding and transfusion during several surgery processes. Plant-based absorbable surgical hemostatic agents (microporous polysaccharide hemospheres) are propo...

Comparison on Diagnostic Accuracy of Prostate Cancer Detection Tools: A Systematic Review and Meta-Analysis

Introduction Some tests and markers have proved to improve the diagnosis of prostate cancer (PCa). This meta-analysis aimed to review the diagnostic accuracy of three commercial tests, prostate health index (PHI), prost...

CRISPR-Cas Systems for Detection of Nucleic Acids: PCR Empire now has a Vigorous Rival!

Rapid and accurate detection of nucleic acids is essential in many fields of modern biology and medical diagnosis of pathogens. PCR has some disadvantages for performing this task, and therefore demand for an alternative...

Download PDF file
  • EP ID EP704076
  • DOI 10.22034/TRU.2021.278483.1063
  • Views 94
  • Downloads 0

How To Cite

Alimohammad Fakhr Yasseri, Abdolreza Mohammadi, Seyed Mohammad Kazem Aghamir (2021). Management of a Lost Stone During Laparoscopic Ureterolithotomy: Video Article. Translational Research in Urology, 3(1), -. https://europub.co.uk/articles/-A-704076