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Retroperitoneal laparoscopic ureteroureterostomy for retrocaval ureter: A report of 15 cases
Author(s) -
Zhang Jiexiu,
Liu Bianjiang,
Song Ninghong,
Hua Lixin,
Wang Zengjun,
Yin Changjun,
Zhang Wei
Publication year - 2014
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/1744-1633.12045
Subject(s) - medicine , ureter , surgery , blood loss , laparoscopy , intravenous pyelography , ultrasonography , port (circuit theory) , urinary system , electrical engineering , engineering
Aim The aim of the current study was to present our techniques and experience with retroperitoneal laparoscopic ureteroureterostomy ( LUUS ) in 15 patients with retrocaval ureter. Patients and Methods A total of 15 patients with retrocaval ureter underwent retroperitoneal LUUS . A four‐port, finger and balloon‐dissecting, retroperitoneal approach was used. Follow‐up studies were performed with renal ultrasonography and intravenous pyelography. Results All operations were completed laparoscopically without conversion to open surgery. The mean operative time was 120 (90∼170) min. The mean blood loss was 30 (15∼50) mL. All of the patients had an uneventful recovery. No intraoperative or postoperative complications occurred. At follow up, 3 and 6 months after discharge, remarkable improvement in the ureteral obstruction was observed. Conclusions Our results indicate that retroperitoneal LUUS is a safe, effective and minimally‐invasive treatment for retrocaval ureter. Laparoscopic surgery could be the preferred treatment for retrocaval ureter.