{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:06:03Z","timestamp":1783555563463,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>We evaluated the efficacy and safety of laparoscopic ureterolithotomy (LPU) for the treatment of large proximal ureteric stone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective multicenter analysis for patients with solitary impacted proximal ureteric stone \u226515\u2009mm who underwent LPU from 2016 to 2019 was performed. Primary outcome was to estimate the stone\u2010free rate (SFR). SFR was defined as absence of residual stones on postoperative computed tomography scan. Secondary outcome was to assess the perioperative outcomes, as well as to review literature data of randomized controlled trials and meta\u2010analyses comparing LPU to other treatment options.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010four patients were included in our study. Mean stone size was 22.9\u2009\u00b1\u20095.8\u2009mm and median follow\u2010up was 14\u2009months. Three patients had previous abdominal surgery, one patient had severe degree of scoliosis and six patients failed primary therapy. All stones were extracted successfully (SFR = 100%) without need of auxiliary treatments. Mean operative time and estimated blood loss were 86.6\u2009\u00b1\u200914.1 minutes. and 11.9\u2009\u00b1\u200914.7 mL, respectively. No intraoperative complications or conversion to open surgery were reported. No major postoperative complications (\u2265grade 3) were reported. Mean length of hospital stay was 2\u2009\u00b1\u20090.8\u2009days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>For treatment of large ureteric stones, our study showed that LPU achieves 100% stone\u2010free status. When performed by well\u2010trained laparoscopic surgeons, it is safe and has no major perioperative complications. According to our results and literature data, when counseling patients with large impacted proximal ureteral stones, LPU should be advised as the procedure that has the higher SFR, lower auxiliary treatments, and comparable complication rates to other treatments.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12861","type":"journal-article","created":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T02:58:41Z","timestamp":1599015521000},"page":"241-249","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Laparoscopic ureterolithotomy for large proximal ureteric stones: Surgical technique, outcomes and literature review"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9294-2665","authenticated-orcid":false,"given":"Ali","family":"Abdel Raheem","sequence":"first","affiliation":[{"name":"Department of Urology King Saud Medical City  Riyadh Saudi Arabia"},{"name":"Department of Urology, Faculty of Medicine Tanta University  Tanta Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7816-051X","authenticated-orcid":false,"given":"Ibrahim","family":"Alowidah","sequence":"additional","affiliation":[{"name":"Department of Urology King Saud Medical City  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5972-6242","authenticated-orcid":false,"given":"Ayman","family":"Hagras","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Tanta University  Tanta Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9844-1821","authenticated-orcid":false,"given":"Tarek","family":"Gameel","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Tanta University  Tanta Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9102-1821","authenticated-orcid":false,"given":"Ahmed","family":"Ghaith","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Tanta University  Tanta Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9936-0521","authenticated-orcid":false,"given":"Ahmed","family":"Elghiaty","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Tanta University  Tanta Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0989-2845","authenticated-orcid":false,"given":"Sultan","family":"Althakafi","sequence":"additional","affiliation":[{"name":"Department of Urology King Saud Medical City  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1365-6899","authenticated-orcid":false,"given":"Mohammed","family":"Al\u2010Mousa","sequence":"additional","affiliation":[{"name":"Department of Urology King Saud Medical City  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6264-9425","authenticated-orcid":false,"given":"Mohammed","family":"Alturki","sequence":"additional","affiliation":[{"name":"Department of Urology King Saud Medical City  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"1","article-title":"EAU guidelines on urolithiasis. 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