3-D laparoscopic ureteric reimplantation with Boari Flap for long segment ureteric stricture secondary to genito-urinary tuberculosis: Our experience

Laparoscopic Boari flap for repair of long-segment ureteral avulsion or ureteral stricture: our experience with seventeen cases

“…Fugita OE et al (5)performed the first successful laparoscopic Boari flap in three patients with long-segment ureteral stricture in 2001 and confirmed that the procedure was effective and feasible.Ding G et al (20)retrospectively reviewed 35 patients with complex distal ureteral stricture.compared to open Boari flap-psoas hitch,laparoscopic surgery had advantages being a minimal invasive surgery with less estimated blood loss and fewer surgical complications.We summarize some of the teams that performed Boari flap in the laparoscopic approach,as shown in Table 3 (9,(21)(22)(23)(24)(25)(26)(27).In our study,perioperative outcomes were similar to them.During long-term follow-up,one patient developed ureteral stricture and severe hydronephrosis one year after surgery,and hydronephrosis was reduced after placement of 2 double J-tubes,and one patient had recurrent urinary tract infection,while the remaining fifteen cases did not show any abnormalities.Damage to the blood supply to the bladder flap during surgery,operator's unskilled suturing technique,the patient's own nutritional status,and poor control of diabetes mellitus may have been associated with ureteral stenosis in this patient.In recent years,robot-assisted Boari flap has been reported,and its efficacy and safety have been confirmed (28,29).However,its high price is prohibitive.…”