Laparoscopy-Assisted Reconstruction of a Long-Segment Ureteral Stricture Using Reconfigured Ileal Segment: Application of the Yang Monti Principle

Abstract

We report the first laparoscopy-assisted replacement of the ureter with an ileal segment reconfigured by using the Yang Monti principle. We performed this surgery in a patient with a long segment right lower ureteral stricture from a nonspecific cause. The initial dissection of the colon and the ureter was done laparoscopically. The bowel was identified and delivered through a 3.5 cm midline infraumbilical incision. The bowel segment was isolated and reconfigured extracorporeally. The bowel was placed back in the peritoneal cavity, and the ureteroileal and the ileovesical anastomosis were performed using the laparoscopic intracorporeal suturing technique. The patient had an uneventful postoperative recovery. The ileal segment showed good patency on early follow-up.