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Laparoscopic Ureteral Reimplantation: Technique and Outcomes

2009; Lippincott Williams & Wilkins; Volume: 181; Issue: 4 Linguagem: Inglês

10.1016/j.juro.2008.11.102

1527-3792

Casey A. Seideman, Chad Huckabay, Kevin Smith, Sompol Permpongkosol, Mohammad Nadjafi-Semnani, Benjamin R. Lee, Lee Richstone, Louis R. Kavoussi,

Kidney Stones and Urolithiasis Treatments

No AccessJournal of UrologyAdult Urology1 Apr 2009Laparoscopic Ureteral Reimplantation: Technique and Outcomes Casey A. Seideman, Chad Huckabay, Kevin D. Smith, Sompol Permpongkosol, Mohammad Nadjafi-Semnani, Benjamin R. Lee, Lee Richstone, and Louis R. Kavoussi Casey A. SeidemanCasey A. Seideman North Shore-Long Island Jewish Health System, New Hyde Park, New York , Chad HuckabayChad Huckabay North Shore-Long Island Jewish Health System, New Hyde Park, New York , Kevin D. SmithKevin D. Smith North Shore-Long Island Jewish Health System, New Hyde Park, New York , Sompol PermpongkosolSompol Permpongkosol Department of Urology, Ramathibodi Hospital, Bangkok, Thailand , Mohammad Nadjafi-SemnaniMohammad Nadjafi-Semnani Department of Urology, Birjand University of Medical Sciences, Birjand, Iran , Benjamin R. LeeBenjamin R. Lee North Shore-Long Island Jewish Health System, New Hyde Park, New York , Lee RichstoneLee Richstone North Shore-Long Island Jewish Health System, New Hyde Park, New York , and Louis R. KavoussiLouis R. Kavoussi North Shore-Long Island Jewish Health System, New Hyde Park, New York View All Author Informationhttps://doi.org/10.1016/j.juro.2008.11.102AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We describe our experience with laparoscopic ureteral reimplantation in 45 adults, and report success rates and complications at intermediate term followup. Materials and Methods: We performed a retrospective chart review of 45 patients who underwent laparoscopic ureteral reimplantation between 1997 and 2007. Demographics, clinicopathological parameters, perioperative course, complications and followup studies were analyzed. Results: Elective laparoscopic ureteral reimplantation was performed in 35 female and 10 male patients with a mean followup of 24.1 months (range 1 to 76). All patients presented with distal ureteral stricture with a mean stricture length of 3 cm and a mean ± SD preoperative serum creatinine of 0.91 ± 0.04 mg/dl. Mean patient age was 47.8 ± 2.2 years (range 17 to 87). Mean American Society of Anesthesiologists score was 2 (range 1 to 3). Median estimated blood loss was 150 ml. The overall success rate, defined as radiographic evidence of no residual obstruction, symptoms, renal deterioration or need for subsequent procedures, was 96%. Two patients had recurrent strictures and 1 underwent nephrectomy for flank pain and preexisting chronic pyelonephritis. Conclusions: According to intermediate followup data laparoscopic ureteral reimplantation can be performed with an excellent success rate and low morbidity. 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Google Scholar 16 : Comparison of laparoscopic with open approach for ureterolysis in patients with retroperitoneal fibrosis. J Urol2008; 179: 1875. Link, Google Scholar © 2009 by American Urological AssociationFiguresReferencesRelatedDetailsCited byMauck R, Hudak S, Terlecki R and Morey A (2018) Central Role of Boari Bladder Flap and Downward Nephropexy in Upper Ureteral ReconstructionJournal of Urology, VOL. 186, NO. 4, (1345-1349), Online publication date: 1-Oct-2011. Volume 181Issue 4April 2009Page: 1742-1746 Advertisement Copyright & Permissions© 2009 by American Urological AssociationKeywordslaparoscopypathologicconstrictionureteriatrogenic diseasereplantationMetricsAuthor Information Casey A. Seideman North Shore-Long Island Jewish Health System, New Hyde Park, New York More articles by this author Chad Huckabay North Shore-Long Island Jewish Health System, New Hyde Park, New York More articles by this author Kevin D. Smith North Shore-Long Island Jewish Health System, New Hyde Park, New York More articles by this author Sompol Permpongkosol Department of Urology, Ramathibodi Hospital, Bangkok, Thailand More articles by this author Mohammad Nadjafi-Semnani Department of Urology, Birjand University of Medical Sciences, Birjand, Iran More articles by this author Benjamin R. Lee North Shore-Long Island Jewish Health System, New Hyde Park, New York More articles by this author Lee Richstone North Shore-Long Island Jewish Health System, New Hyde Park, New York More articles by this author Louis R. Kavoussi North Shore-Long Island Jewish Health System, New Hyde Park, New York More articles by this author Expand All Advertisement PDF downloadLoading ...