V11-10 MINI LAPAROSCOPIC PYELOPLASTY OF A RETROCAVAL URETER

Abstract

You have accessJournal of UrologyAdrenal/Single Port Surgery/LESS/NOTES1 Apr 2015V11-10 MINI LAPAROSCOPIC PYELOPLASTY OF A RETROCAVAL URETER Anibal W. Branco, Luciano C. Stunitz, Sandro Nichele, Julio C. Foiatto, Juliano D. Scheffer, Marcio Gatti, and Kleber Stelmasuk Anibal W. BrancoAnibal W. Branco More articles by this author , Luciano C. StunitzLuciano C. Stunitz More articles by this author , Sandro NicheleSandro Nichele More articles by this author , Julio C. FoiattoJulio C. Foiatto More articles by this author , Juliano D. SchefferJuliano D. Scheffer More articles by this author , Marcio GattiMarcio Gatti More articles by this author , and Kleber StelmasukKleber Stelmasuk More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2608AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Mini laparoscopy is an emerging field of minimally invasive surgery that involves the use of 2mm, 3mm and 5mm laparoscopic instruments. This approach causes less abdominal trauma and, consequently, minimizes pain and surgical stress, as well as providing an excellent aesthetic result. Retrocaval ureter is a congenital anomaly, and its golden standard treatment is the laparoscopic pyeloplasty. The aim of this video is to demonstrate a case of a retrocaval ureter approached by mini laparoscopy. METHODS A 23-year old male patient was presented with recurrent right flank pain; the CT scan demonstrated retrocaval ureter with uretero-pelvic junction (UPJ) obstruction. RESULTS A double J catheter was placed endoscopically; after that, a 3mm trocar and two 5mm ones were used to perform the entire laparoscopic procedure. The operative time was 80 minutes, the blood loss 50ml and no external drain was used; the patient was discharged in the first post operative. The Folley catheter was removed in the second p.o. and the double J stent after six weeks. After 3 months, both ureters demonstrated satisfactory kidney bilateral contrast excretion and the patient reported no existence of right flank pain. CONCLUSIONS Conclusively, the main applications of mini laparoscopy in urology are to ureteral pathologies – mainly typical UPJ obstructions. To our knowledge, this was the first description of treatment of retrocaval ureter. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e909-e910 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Anibal W. Branco More articles by this author Luciano C. Stunitz More articles by this author Sandro Nichele More articles by this author Julio C. Foiatto More articles by this author Juliano D. Scheffer More articles by this author Marcio Gatti More articles by this author Kleber Stelmasuk More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...