Prof. Petrisor GEAVLETE, MD, PhD.Razvan Multescu, MD, PhD.Bogdan Geavlete, MD, PhD.Saint John Emergency Clinical Hospital
Bucharest, Romania
Prof. Petrisor GEAVLETE, MD, PhD.Razvan Multescu, MD, PhD.Bogdan Geavlete, MD, PhD.Saint John Emergency Clinical Hospital
Bucharest, Romania
8/9.8F Wolf, 8 and 10F Storz, 8.5/9.9 F Olympus Endoeye digital semirigid ureteroscopes
Balistic, electrohydaulic or Ho:YAG laser lithotripters.
7.5F 7.5F 8.7F 8.5F 9.0F 9.5F 8.2F 8.0F
Improved visibilityImproved visibility
P.Geavlete, 2008 P.Geavlete, 2008 P.Geavlete, 2008 P.Geavlete, 2008 P.Geavlete, 2008
Intraoperative incidents (4.3%)
failure to negotiate de ureteral orifice (68 cases)failure to reach the calculi (237 cases)fixed stone baskets (69 cases)equipment damages (40 cases)double J stent malpositioning (12 cases)
All the incidents were dealt endoscopically, except one case of fixed basket that imposed open extraction.
Intraoperative complications (2.8%)lesions of the ureteral mucosa (167 cases)perforation (68 cases)bleeding (26 cases)ureteral avulsion (3 cases)extra-ureteral stone migration (12 cases)
All intraoperative complications were identified intraoperatively and
treated immediately Open surgery was necessary in only 5
cases.
P.Geavlete, 2009 P.Geavlete, 2007P.Geavlete, 2000
Lesions of the ureteral mucosa
Fixed stone baskets
Perforation
Due to technological advances and increased experience, the semirigid retrograde ureteroscopic treatment of ureteral lithiasis increased the efficacy, while the incidence of intraoperative complications decreased. Most of these complications are minor and can be managed by conservative approach.
CONCLUSIONSCONCLUSIONSCONCLUSIONSCONCLUSIONS