Laparoscopic Ureteral Reimplantation: Technique and Outcomes

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

    Research output: Contribution to journalArticle

    35 Scopus citations

    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

    Keywords

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

    ASJC Scopus subject areas

    • Urology

    Fingerprint Dive into the research topics of 'Laparoscopic Ureteral Reimplantation: Technique and Outcomes'. Together they form a unique fingerprint.

  • Cite this

    Seideman, C. A., Huckabay, C., Smith, K. D., Permpongkosol, S., Nadjafi-Semnani, M., Lee, B. R., Richstone, L., & 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