I S Gill1, S J Savage, A J Senagore, G T Sung. 1. Department of Urology, Minimally Invasive Surgery Center, The Cleveland Clinic Foundation, Ohio 44195, USA.
Abstract
PURPOSE: We describe the operative technique of laparoscopic ileal ureter replacement. MATERIALS AND METHODS: A transperitoneal 3-port approach was used. Ileovesical and pyeloileal anastomoses were performed with intracorporeal laparoscopic freehand suturing and knot tying techniques. RESULTS: Operating time was 8 hours and blood loss was 200 cc. Both anastomoses were immediately watertight. Hospital stay was 4 days and a cystogram at 14 days confirmed widely patent anastomoses without extravasation. CONCLUSIONS: Laparoscopic ileal ureter replacement satisfactorily duplicates established open surgical principles. The laparoscopic technique is efficient and technically straightforward.
PURPOSE: We describe the operative technique of laparoscopic ileal ureter replacement. MATERIALS AND METHODS: A transperitoneal 3-port approach was used. Ileovesical and pyeloileal anastomoses were performed with intracorporeal laparoscopic freehand suturing and knot tying techniques. RESULTS: Operating time was 8 hours and blood loss was 200 cc. Both anastomoses were immediately watertight. Hospital stay was 4 days and a cystogram at 14 days confirmed widely patent anastomoses without extravasation. CONCLUSIONS: Laparoscopic ileal ureter replacement satisfactorily duplicates established open surgical principles. The laparoscopic technique is efficient and technically straightforward.
Authors: Riccardo Schiavina; Stefano Zaramella; Francesco Chessa; Cristian Vincenzo Pultrone; Marco Borghesi; Andrea Minervini; Andrea Cocci; Andrea Chindemi; Alessandro Antonelli; Claudio Simeone; Vincenzo Pagliarulo; Paolo Parma; Alessanrdo Samuelli; Antonio Celia; Bernardino De Concilio; Bernardo Rocco; Elisa De Lorenzis; Gaetano La Manna; Carlo Terrone; Mario Falsaperla; Donato Dente; Angelo Porreca Journal: J Robot Surg Date: 2016-05-21