Totally laparoscopic ureteroneocystostomy with intracorporeal tailoring for primary obstructive megaureter

Mitre, Anuar Ibrahim; Lestingi, Jean Felipe Prodocimo; Arap, Marco Antônio; Lucon, Antônio Marmo; Srougi, Miguel

doi:10.1590/s1807-59322011000100032

Cited by 5 publications

(1 citation statement)

References 11 publications

(14 reference statements)

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“…An additional or established port or a percutaneous needle was used to place a ureteral stent in previous reports [1,2,6,25]. A no-stent technique was also introduced [14].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Ureteroneocystostomy: Modification of Current Techniques

et al. 2013

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PurposeTo review the feasibility of laparoscopic ureteroneocystostomy with extracorporeal eversion of the ureteral end in various distal ureteral lesions.Materials and MethodsWe conducted a retrospective review of 5 laparoscopic procedures of ureteroneocystostomy with extracorporeal eversion of the ureteral end. Of these, 4 patients (range, 45 to 54 years) had distal ureter stricture or obstruction after gynecological surgeries for endometriosis or a large uterine myoma. One patient (male, 67 years) had low-grade distal ureter cancer. The laparoscopic procedure was combined with cystoscopic insertion of a ureteral stent and extracorporeal eversion of the ureter through the 10-mm port on the affected side.ResultsThe laparoscopic ureteral reimplantations with and without a psoas hitch in patients with distal ureteral lesions was successful in all patients. The mean operation time was 137 minutes (range, 104 to 228 minutes). Two patients underwent additional psoas hitch. In all patients, short-term success was confirmed by voiding cystourethrography and intravenous pyelography conducted 3 months after the operation. The mean follow-up of the entire group was 12 months (range, 3 to 30 months). We noted no major or minor complications over the follow-up period.ConclusionsThe technique of laparoscopic ureteroneocystostomy for benign or malignant ureteral strictures continues to evolve. Surgeons should be versatile with various options and technical nuances when dealing with these cases. Simple modifications of laparoscopic ureteroneocystostomy with extracorporeal eversion of the ureteral end, nonreflux extravesical anastomosis, and simultaneous cystoscopy will be crucial to the ease of performance and a successful outcome.

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“…An additional or established port or a percutaneous needle was used to place a ureteral stent in previous reports [1,2,6,25]. A no-stent technique was also introduced [14].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Ureteroneocystostomy: Modification of Current Techniques

et al. 2013

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Current trends in minimally invasive reconstructive urology

2011

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This paper is a systematic review of the current literature in minimally invasive reconstructive urological surgery. It focuses on the commonest reconstructive procedures in both the upper and lower urinary tracts including laparoscopic and robotic pyeloplasty for ureteropelvic junction obstruction, laparoscopic and robotic bladder diverticulectomy, laparoscopic and robotic partial cystectomy with urinary diversion, laparoscopic and robotic cystoplasty, repair of colovesical fistula, and, in urogynaecology, repair of vesicovaginal fistula. To evaluate the development, current status, feasibility, and safety of minimally invasive surgery (MIS) in reconstructive urology the literature on the topic was collated and reviewed.

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