A Novel Technique for Simple Double-J Stent Placement after Intraperitoneal Laparoscopic Ureterolithotomy
Abstract
Objective: The insertion of a double-J (DJ) stent during laparoscopic ureterolithotomy can be challenging, invasive, and time-consuming when using the various techniques available for its placement. This study aimed to present a simplified method for DJ stent placement following intraperitoneal laparoscopic ureterolithotomy.
Material and Methods: Twenty-five patients with proximal ureteral stones who underwent intraperitoneal laparoscopic ureterolithotomy and placement of DJ stent between November 2023 and February 2024 in a teaching hospital were selected for this study. After the stone was successfully removed, the ureteroscope was inserted through a 5-mm trocar and passed into the distal ureter, followed by threading the guidewire through it. Subsequently, the distal tip of a 6-French DJ stent was attached to the guidewire and inserted into the distal ureter. The proximal tip of the DJ stent was guided along the wire through the ureteral incision and advanced toward the pyelum.
Results: The stent was successfully placed in, on average, below 5.9 minutes. No complications were found. Postoperative plain abdominal X-ray confirmed the correct placement of the DJ stent. An efficient patient recovery was found with an average hospital stay of 2.7 days.
Conclusion: This novel DJ stent placement technique, with its simple and efficient features, was found to be successful. Further comparative studies with larger patient populations are required in order to evaluate its efficacy.
Keywords
Full Text:
PDFReferences
Lai S, Tang Y, Wang J, Hou Y, Deng Q, Xie L, et al. Optimal management of large proximal ureteral stones (>10 mm): a systematic review and meta-analysis of 12 randomized controlled trials. Int J Surg 2020;80:205–17.
Ordon M, Andonian S, Blew B, Schuler T, Chew B, Pace, KT. Cua guideline: management of ureteral calculi. Can Urol Assoc J 2015;9:E837.
Das JK, Rangad GM. A new and easy technique of double-J stenting after retroperitoneal laparoscopic ureterolithotomy: a discussion of other techniques. Urol Ann 2020;12:309-13 .
Kallidonis P, Ntasiotis P, Knoll T, Sarica K, Papatsoris A, Somani BK, et al. Minimally invasive surgical ureterolithotomy versus ureteroscopic lithotripsy for large ureteric stones: a systematic review and meta-analysis of the literature. Eur Urol Focus 2017;3:554-66.
Şahin S, Aras B, Ekşi M, Şener NC, Tugču V. Laparoscopic ureterolithotomy. J Soc Laparoendosc Surg 2016;20.
Asimakopoulos AD, Colalillo G, Miano R, Agrò, EF, Farullo G, Fuschi A, et al. Double-J stent placement during laparoscopic ureterolithotomy: the “seagull” technique. BJU international 2022;130:839-43.
Chen IH, Tsai JY, Yu CC, Wu T, Huang JK, Lin JT. Ureteroscope-assisted double-J stenting following laparoscopic ureterolithotomy. Kaohsiung J Med Sci 2014;30:243–7.
Somani, Bhaskar K. Stone-free rate (SFR): a new proposal for defining levels of SFR. Urolithiasis 2014;42:95.
Raheem A, Alowidah I, Hagras A, Gameel T, Ghaith A, Elghiaty, A, et al. Laparoscopic ureterolithotomy for large proximal ureteric stones: Surgical technique, outcomes and literature review. Asian J Endosc Surg 2021;14:241-9.
Jia B, Liu J, Hu B, Chen Z. Using retroperitoneal laparoscopic ureterolithotomy in the treatment of impacted upper ureteric calculi. Transl Androl Urol 2022;11:104.
Wani MM, Durrani AM. Laparoscopic ureterolithotomy: experience of 60 cases from a developing world hospital. J Minimal Access Surg 2019;15:103-8. doi: 10.4103/jmas.JMAS_203_17.
Choi JD, Seo SI, Kwon J, Kim BS. Laparoscopic ureterolithotomy vs ureteroscopic lithotripsy for large ureteral stones. J Soc Laparoendosc Surg 2019;23.
Corvino A, Basile L, Cocco G, Delli Pizzi A, Tafuri D, Corvino F, Catalano O Complications subsequent to urinary tract stent placement: an overview focusing on the imaging of cancer patients. Medicina 2024;60:338.
Gökçen K, Gökçe G, Kordan Y, Kıraç E, Dündar G, Gültekin EY. Antegrade stent placement in laparoscopic upper urinary tract surgery. Is there an easy way?. Videosurg Other Miniinvasive Tech 2019;14:102-6.
Isiordia-Espinoza MA, Alonso-Castro ÁJ, Serafín-Higuera N, Castañeda-Santana DI, de la Rosa Coronado M, Bologna-Molina RE. Postoperative administration of ketorolac compared to other drugs for pain control after third molar surgery: a meta-analysis of double-blind, randomized, clinical trials. Br J Clin Pharmacol 2022;88:2591-604. doi: 10.1111/bcp.15241.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.