V912 LAPAROSCOPIC URETERONEOCYSTOSTOMY: MODIFICATION OF CURRENT TECHNIQUES

You have accessJournal of UrologyAdrenal and Reconstruction Teaching Techniques1 Apr 2013V912 LAPAROSCOPIC URETERONEOCYSTOSTOMY: MODIFICATION OF CURRENT TECHNIQUES Sung Woo Park, Seung Chan Jeong, Jong Kil Nam, Sang Don Lee, and Moon Kee Chung Sung Woo ParkSung Woo Park Yangsan, Korea, Republic of More articles by this author , Seung Chan JeongSeung Chan Jeong Yangsan, Korea, Republic of More articles by this author , Jong Kil NamJong Kil Nam Yangsan, Korea, Republic of More articles by this author , Sang Don LeeSang Don Lee Yangsan, Korea, Republic of More articles by this author , and Moon Kee ChungMoon Kee Chung Yangsan, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.487AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To review the feasibility of laparoscopic ureteroneocystostomy with extracorporeal eversion of ureteral end in various distal ureteral lesion. METHODS We conducted a retrospective review of 5 laparoscopic ureteroneocystostomy with extracorporeal eversion of ureteral end. Of these, 4 patients (median 49.8 years; range, 45 to 54 years) had distal ureter stricture or obstruction after gynecological surgeries for endometriosis or large uterine myoma. One patient (male, 67 years) had low-grade distal ureter cancer. The laparoscopic procedure was combined with cystoscopic insertion of ureteral stent and extracorporeal eversion of ureter through the affected side 10 mm port. RESULTS The technique laparoscopic ureteral re-implantations with and without a psoas hitch in patients with distal ureteral lesion was successful in all patients. Mean operation time was 137 minutes (range, 104 to 228 minutes). Two patients underwent additional dissection of the contralateral perivesical plane and psoas hitch. In all patients, a short-term success was confirmed by voiding cystourethrography and intravenous pyelography 3 months after operation. Mean follow-up of the entire group is 12 months (range, 3 to 30 months). We noted no major or minor complications over the follow up period. CONCLUSIONS The technique of laparoscopic ureteroneocystostomy for benign or malignant ureteral strictures continues to be in evolution. Surgeon should be versatile with various options and technical nuances while dealing with these cases. Simple modifications for laparoscopic ureteroneocystostomy with extracorporeal eversion of ureteral end, non-reflux extravesical anastomosis, and simultaneous cystoscopy will be crucial to the ease of performance and a successful outcome. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e375 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sung Woo Park Yangsan, Korea, Republic of More articles by this author Seung Chan Jeong Yangsan, Korea, Republic of More articles by this author Jong Kil Nam Yangsan, Korea, Republic of More articles by this author Sang Don Lee Yangsan, Korea, Republic of More articles by this author Moon Kee Chung Yangsan, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...