Laparoscopic ureteral reimplantation using the dome advancement technique: A case series and review of the literature

Abstract

Aim: Ureteral resection and reimplantation is one of the treatment options for pathology in the middle and distal ureter. Laparoscopic ureteral reimplantation has been shown to be a feasible alternative to the open approach. Among the various techniques of laparoscopic reimplantation, the dome advancement technique has been reported as a simple and effective method.Patients and Methods: Five patients were found to have distal ureteric stricture necessitating partial ureterectomy and ureteral reimplantation. Their results are reviewed and compared to published results.Results: Laparoscopic distal ureterectomy and ureteral reimplantation was successfully performed in all five patients using the dome advancement technique. All patients made good postoperative recovery without evidence of obstruction on follow‐up imaging.Conclusion: Laparoscopic ureteral reimplantation is a feasible minimally‐invasive option for patients requiring ureteral reconstruction. The dome advancement technique is simple and reproducible, with a good functional outcome.