Ureterolysis for Extrinsic Ureteral Obstruction: A Comparison of Laparoscopic and Open Surgical Techniques
1996; Lippincott Williams & Wilkins; Volume: 156; Issue: 4 Linguagem: Inglês
10.1016/s0022-5347(01)65601-5
ISSN1527-3792
AutoresOsama M. Elashry, Stephen Y. Nakada, J. Stuart Wolf, R. Sherburne Figenshau, Elspeth M. McDougall, Ralph V. Clayman,
Tópico(s)Pediatric Urology and Nephrology Studies
ResumoNo AccessJournal of UrologyClinical Urology: Original Article1 Oct 1996Ureterolysis for Extrinsic Ureteral Obstruction: A Comparison of Laparoscopic and Open Surgical Techniques Osama M. Elashry, Stephen Y. Nakada, J. Stuart Jr. Wolf, R. Sherburne Figenshau, Elspeth M. McDougall, and Ralph V. Clayman Osama M. ElashryOsama M. Elashry , Stephen Y. NakadaStephen Y. Nakada , J. Stuart Jr. WolfJ. Stuart Jr. Wolf , R. Sherburne FigenshauR. Sherburne Figenshau , Elspeth M. McDougallElspeth M. McDougall , and Ralph V. ClaymanRalph V. Clayman View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65601-5AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the role of laparoscopy in the management of extrinsic ureteral obstruction due to benign retroperitoneal fibrosis or ovarian pathology. The results of laparoscopic ureterolysis were compared to those of a contemporary series of open ureterolysis performed for the same pathological conditions. Materials and Methods: We compared 6 patients undergoing unilateral laparoscopic ureterolysis for extrinsic ureteral obstruction to 7 undergoing open unilateral ureterolysis for similar pathological conditions. Patient demographic, operative, and early and late postoperative data were collected. Results: Laparoscopic ureterolysis was associated with less intraoperative blood loss and need for parenteral pain medications, and significantly shorter hospital stay and convalescence than open surgery. Although there were no intraoperative or postoperative complications in the laparoscopy group, 1 patient in the open surgery group had an intraoperative ureteral avulsion and 4 had minor postoperative complications (blood transfusion, ileus and/or wound cellulitis). Operative time was longer in the laparoscopy group (255 versus 232 minutes). Subjective followup with an analog pain scale and/or telephone interview showed improvement in all patients in the laparoscopy group and all 6 contacted in the open surgery group. Likewise, excretory urography and/or renal scan showed improved renal function and relief of obstruction in all patients. Conclusions: Laparoscopic unilateral ureterolysis for extrinsic ureteral obstruction is a less morbid, yet equally effective procedure with several clinical advantages over conventional open surgical ureterolysis. References 1 : Extrinsic obstruction of the ureter. In: . Philadelphia: W. B. Saunders Co1992: 533. chapt. 12. Google Scholar 2 : Idiopathic retroperitoneal fibrosis. J. Urol.1979; 122: 1. Link, Google Scholar 3 : The clinical significance of retroperitoneal fibrosis. Surgery1977; 81: 250. Google Scholar 4 : Retroperitoneal fibrosis. The forgotten connective tissue disease. N. C. Med. J.1989; 50: 192. Google Scholar 5 : The ovarian vein syndrome. Surg., Gynec. & Obst.1970; 130: 443. Google Scholar 6 : Ureteral obstruction secondary to retained ovarian remnants: a case report and review of the literature. J. Urol.1987; 137: 973. Link, Google Scholar 7 : Retroperitoneal fibrosis. Canad. J. Surg.1984; 27: 111. Google Scholar 8 : Retroperitoneal fibrosis. A radiological and follow-up study of fourteen cases. Quart. J. Med.1969; 38: 159. Google Scholar 9 : Retroperitoneal fibrosis. A report of selected cases and a review of the literature. N. Y. State J. Med.1989; 89: 511. Google Scholar 10 : Idiopathic retroperitoneal fibrosis. A sometime surgical problem. Amer. Surg.1984; 50: 76. Google Scholar 11 : Idiopathic retroperitoneal fibrosis: clinical experience with 15 cases, 1956-1967. J. Urol.1968; 99: 575. Abstract, Google Scholar 12 : Laparoscopic ureterolysis. J. Urol.1992; 147: 426. Link, Google Scholar 13 : Laparoscopic treatment of ureteral obstruction secondary to ovarian remnant syndrome. J. Urol.1993; 149: 827. Abstract, Google Scholar 14 : Retroperitoneal fibrosis in the scrotum. Eur. Urol.1982; 8: 45. Google Scholar 15 : Retroperitoneal fibrosis secondary to metastatic neoplasm. Urology1977; 9: 191. Google Scholar 16 : Malignant retroperitoneal fibrosis. Brit. J. Surg.1967; 54: 505. Google Scholar 17 : High failure rate of indwelling ureteral stents in patients with extrinsic obstruction: experience at 2 institutions. J. Urol.1989; 142: 277. Link, Google Scholar 18 : Surgical treatment of retroperitoneal fibrosis with omentoplasty. Surgery1982; 91: 137. Google Scholar 19 : Idiopathic retroperitoneal fibrosis. A retrospective analysis of 60 cases. Brit. J. Urol.1988; 60: 497. Google Scholar 20 : Percutaneous balloon dilatation of a mid-ureteric obstruction caused by retroperitoneal fibrosis. Brit. J. Urol.1987; 60: 84. Google Scholar 21 : Ureteral obstruction following aortobifemoral bypass: management by endoscopic balloon dilation. J. Urol.1992; 147: 120. Abstract, Google Scholar 22 : Innovative surgical management of idiopathic retroperitoneal fibrosis. J. Urol.1989; 141: 1192. Abstract, Google Scholar 23 : Laparoscopic dismembered pyeloplasty. J. Urol.1993; 150: 1795. Link, Google Scholar 24 : Bilateral laparoscopic ureterolysis. Eur. Urol.1994; 25: 82. Google Scholar 25 : Laparoscopic ureterolysis for idiopathic retroperitoneal fibrosis. Eur. Urol.1994; 26: 286. Google Scholar 26 : Laparoscopic ureterectomy: initial clinical experience. J. Urol.1993; 149: 992. Link, Google Scholar 27 : Laparoscopic ureterolithotomy. Urology1992; 39: 223. Google Scholar 28 : Laparoscopic ureteroneocystostomy. J. Urol.1994; 152: 2057. Link, Google Scholar 29 : Laparoscopic surgical correction of circumcaval ureter. Urology1994; 44: 122. Google Scholar 30 : Operative laparoscopy for the management of ovarian remnant syndrome. Fertil. Steril.1992; 57: 1003. Google Scholar 31 : Laparoscopic treatment of obstructed ureter due to endometriosis by resection and ureteroureterostomy: a case report. J. Urol.1992; 148: 865. Link, Google Scholar Departments of Surgery (Division of Urology) and Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, and Department of Surgery, Division of Urology, University of Wisconsin Medical School, Madison, Wisconsin.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited bySrinivasan A, Richstone L, Permpongkosol S and Kavoussi L (2018) Comparison of Laparoscopic With Open Approach for Ureterolysis in Patients With Retroperitoneal FibrosisJournal of Urology, VOL. 179, NO. 5, (1875-1878), Online publication date: 1-May-2008.CHAN D, CADEDDU J, JARRETT T, MARSHALL F and KAVOUSSI L (2018) LAPAROSCOPIC RADICAL NEPHRECTOMY: CANCER CONTROL FOR RENAL CELL CARCINOMAJournal of Urology, VOL. 166, NO. 6, (2095-2100), Online publication date: 1-Dec-2001. Volume 156Issue 4October 1996Page: 1403-1410 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Osama M. Elashry More articles by this author Stephen Y. Nakada More articles by this author J. Stuart Jr. Wolf More articles by this author R. Sherburne Figenshau More articles by this author Elspeth M. McDougall More articles by this author Ralph V. Clayman More articles by this author Expand All Advertisement PDF downloadLoading ...
Referência(s)