Laparoscopic Dissection of the Pelvic Ureter: Rules of Engagement

Gabriele Centini, Luca Labanca, Karolina Afors, Afors K, Istvan Argay, Argay I, I Argay, R Fernandes, Rodrigo Fernandes, Habib N, Nassir Habib, Arnaud Wattiez, Wattiez A
Journal of Minimally Invasive Gynecology · 2018 · vol. 26(4) , pp. 604 · doi:10.1016/j.jmig.2018.08.018 · PMID:30236899 · W2891323436
article OA: closed CC0 ⤵ 4 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This paper describes key principles and techniques for safely dissecting the pelvic ureter during laparoscopic surgery.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Study objectiveTo point out the relevant anatomy of the ureter and to demonstrate its rules of dissection.DesignAn educational video to explain how to use ureteral relevant anatomy and the principle of dissection to perform safe ureterolysis during laparoscopic procedures.SettingA tertiary care university hospital and endometriosis referential center.InterventionsAnatomic keynotes of the ureter and examples of ureterolysis.ConclusionThis video shows the feasibility of laparoscopic ureteral dissection and provides safety rules to perform ureterolysis. Identification and dissection of the ureter should be part of all gynecologic surgeons' background to reduce the risk of complications [1]. Knowledge of anatomy plays a pivotal role, allowing the surgeon to keep the ureter at a distance and minimizing the need for ureterolysis. Unfortunately, the need for ureteral dissection is not always predictable preoperatively, and gynecologic surgeons need to master this technique, especially when approaching more complex procedures such as endometriosis [2]. An implicit risk of damage cannot be denied when performing ureterolysis; therefore, the ureter should be dissected only when strictly necessary and handled with care to minimize the use of energy [3].

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Ureter Ureteral Diseases Dissection Endometriosis Female Humans Laparoscopy Pelvis Risk Treatment Outcome Ureter Ureteral Diseases

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (2)

Cited by (4)

References (3)

Cited by (4)

Source provenance

europepmc
last seen: 2026-09-13T09:25:22.628771+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:19:31.300640+00:00
License: CC0 · commercial use OK