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Urology. 2007 Sep;70(3):590.e7-10. Epub 2007 Aug 20.

Laparoscopic ureterocalicostomy for salvage of giant hydronephrotic kidney: initial experience.

Author information

1
Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. drmayank_22@yahoo.co.in

Abstract

Reconstructive surgery for salvage of giant hydronephrosis is associated with unique challenges. We introduce the surgical technique of laparoscopic ureterocalicostomy for giant hydronephrosis. A transperitoneal five-port access was created and, after reflecting the colon, the lower pole of the hydronephrotic sac was excised. A wide, spatulated end-to-end ureterocaliceal anastomosis was performed. The sac was decompressed slowly in a controlled manner, which helped during dissection. At 3 months of follow-up, the patient was symptom free, and retrograde ureterography showed a wide, patent anastomosis. Laparoscopic ureterocalicostomy is technically feasible for the salvage of a giant hydronephrotic kidney and duplicates the results of open surgery.

PMID:
17707890
DOI:
10.1016/j.urology.2007.06.1088
[Indexed for MEDLINE]

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