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R. Vanlangendonck, R. Venkatesh, C. Vulin, Sejal Quayle, K. Morrissey, J. Landman (2005)
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Trucos en laparoscopia y retroperitonoscopia en riñón suprarrenalArchivos españoles de urología, 58
Background: The operative technique of laparoscopic ureterocalicostomy for significant ureteropelvic junction fibrosis associated with previous stone disease treatment is reported. Patients and Methods: Three female patients (mean age 32 years, range 25–38 years) presented with complications of urolithiasis treatment between 2003 and 2005. Significant pyeloureteral fibrosis was verified in all patients. A laparoscopic ureterocalicostomy to manage such defects was performed. Follow-up included clinical evaluation, nuclear renography, intravenous urography and serum chemistry. Results: The procedure was transperitoneally performed with a 4-port technique. Vascular control of the renal hilum was indicated in 2 cases (cases 1 and 3) with a mean warm ischemia time of 29 min (range 25–32 min). Mean operative time was 150 min (range 90–210 min) and mean blood loss was 550 ml (range 100–1,000 ml). Operations were performed in the left renal unit in all cases. Post-operative pyelograms verified adequate renal unit excretion. No significant variations on pre- and post-operative serum chemistry were verified. At a mean follow-up period of 26 months (range 12–32 months), there was no evidence of renal function loss which was demonstrated by nuclear renography. Conclusion: In experienced hands a difficult procedure such as ureterocalicostomy can be performed by laparoscopy. This is a complex procedure that is indicated in selected cases where the stenosis of the pyeloureteral junction is associated with an intra-renal pelvis. In our experience results are comparable with those previously reported in open surgery.
Current Urology – Karger
Published: Jan 1, 2008
Keywords: Ureteropelvic junction obstruction; Laparoscopy; Ureterocalicostomy
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