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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.

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Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.


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.

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