A rare case of ureteral triplication with contralateral duplication is reported. The incidence, embryology, classification and symptomatology are commented. The most relevant literature is reviewed.
We describe our experience with a laparoscopic ileal-loop conduit technique for an elderly high-risk patient with bladder cancer. Four ports were used. The ileal segment was sectioned and isolated, ileal continuity was restored, and the ureter was implanted into the ileal segment conduit, extracorporeally. Conduit stoma was formed in one port. Operating time: 4 h. Recovery uneventful. The patient was discharged on the sixth postoperative day and is symptom-free at present and under radiotherapy.
Transperineal laparoscopy in male patients is a feasible technique that may be an alternative for natural orifice translumenal endoscopic surgery in women, but further assessment is required.
ARTICLE INfO
______________________________________________________________ ______________________Purposes: To evaluate in an animal model the feasibility of a novel concept of hand--assisted surgery consisting of inserting two hands into the abdomen instead of one. The chosen procedure was retroperitoneal lymph node dissection (L-RPLND) that was performed in five pigs. Surgical Technique: A Pfannestiel and a transverse epigastric incisions were made through which both hands were introduced. The scope was inserted through the umbilicus. The colon was moved medially and the dissection was performed as in open surgery using short conventional surgical instruments. Comments: The surgery was fulfilled easily and safely in quite a similar way as in open surgery. Two-handed laparoscopy may be indicated in cases that still today require an open approach as apparently makes the operation easier and significantly shortens the surgery time. However, new opinions and trials are required.
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