Laparoscopic Ureteral Reimplantation: Technique and Outcomes

Casey Seideman, Chad Huckabay, Kevin D. Smith, Sompol Permpongkosol, Mohammad Nadjafi-Semnani, Benjamin R. Lee, Lee Richstone, Louis R. Kavoussi

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Purpose: We describe our experience with laparoscopic ureteral reimplantation in 45 adults, and report success rates and complications at intermediate term followup. Materials and Methods: We performed a retrospective chart review of 45 patients who underwent laparoscopic ureteral reimplantation between 1997 and 2007. Demographics, clinicopathological parameters, perioperative course, complications and followup studies were analyzed. Results: Elective laparoscopic ureteral reimplantation was performed in 35 female and 10 male patients with a mean followup of 24.1 months (range 1 to 76). All patients presented with distal ureteral stricture with a mean stricture length of 3 cm and a mean ± SD preoperative serum creatinine of 0.91 ± 0.04 mg/dl. Mean patient age was 47.8 ± 2.2 years (range 17 to 87). Mean American Society of Anesthesiologists score was 2 (range 1 to 3). Median estimated blood loss was 150 ml. The overall success rate, defined as radiographic evidence of no residual obstruction, symptoms, renal deterioration or need for subsequent procedures, was 96%. Two patients had recurrent strictures and 1 underwent nephrectomy for flank pain and preexisting chronic pyelonephritis. Conclusions: According to intermediate followup data laparoscopic ureteral reimplantation can be performed with an excellent success rate and low morbidity. Our data substantiate this technique as an effective method for managing distal ureteral stricture.

Original languageEnglish (US)
Pages (from-to)1742-1746
Number of pages5
JournalJournal of Urology
Volume181
Issue number4
DOIs
StatePublished - Apr 1 2009
Externally publishedYes

Fingerprint

Replantation
Pathologic Constriction
Flank Pain
Pyelonephritis
Nephrectomy
Creatinine
Demography
Morbidity
Kidney
Serum

Keywords

  • constriction
  • iatrogenic disease
  • laparoscopy
  • pathologic
  • replantation
  • ureter

ASJC Scopus subject areas

  • Urology

Cite this

Seideman, C., Huckabay, C., Smith, K. D., Permpongkosol, S., Nadjafi-Semnani, M., Lee, B. R., ... Kavoussi, L. R. (2009). Laparoscopic Ureteral Reimplantation: Technique and Outcomes. Journal of Urology, 181(4), 1742-1746. https://doi.org/10.1016/j.juro.2008.11.102

Laparoscopic Ureteral Reimplantation : Technique and Outcomes. / Seideman, Casey; Huckabay, Chad; Smith, Kevin D.; Permpongkosol, Sompol; Nadjafi-Semnani, Mohammad; Lee, Benjamin R.; Richstone, Lee; Kavoussi, Louis R.

In: Journal of Urology, Vol. 181, No. 4, 01.04.2009, p. 1742-1746.

Research output: Contribution to journalArticle

Seideman, C, Huckabay, C, Smith, KD, Permpongkosol, S, Nadjafi-Semnani, M, Lee, BR, Richstone, L & Kavoussi, LR 2009, 'Laparoscopic Ureteral Reimplantation: Technique and Outcomes', Journal of Urology, vol. 181, no. 4, pp. 1742-1746. https://doi.org/10.1016/j.juro.2008.11.102
Seideman C, Huckabay C, Smith KD, Permpongkosol S, Nadjafi-Semnani M, Lee BR et al. Laparoscopic Ureteral Reimplantation: Technique and Outcomes. Journal of Urology. 2009 Apr 1;181(4):1742-1746. https://doi.org/10.1016/j.juro.2008.11.102
Seideman, Casey ; Huckabay, Chad ; Smith, Kevin D. ; Permpongkosol, Sompol ; Nadjafi-Semnani, Mohammad ; Lee, Benjamin R. ; Richstone, Lee ; Kavoussi, Louis R. / Laparoscopic Ureteral Reimplantation : Technique and Outcomes. In: Journal of Urology. 2009 ; Vol. 181, No. 4. pp. 1742-1746.
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