[Laparoscopic ureteral reimplantation.]

Abstract:

:Although the laparoscopic ureteral reimplantation (LUR) has a history of over 20 years, its presence in the literature is relatively sparse, almost always in the form of small case series with low statistical power, which has prevented consistent results. It has proven to be a safe and effective technique, improving the safety profile and perioperative complications compared to open ureteral reimplantation (OUR). The few long-term results suggest a similar success rate between the open and laparoscopic approaches. Although we do not found in the literature a strong evidence of the benefits of anti-reflux reimplantation techniques in adults, most of the published series include these procedures. Ureteral reimplantation is considered the treatment of choice in ureteral injuries below the iliac vessels. This is its main indication now. Intraoperative recognition of the injury and immediate LUR avoid other complications, but most of ureteral injuries are diagnosed in the early postoperative period. Although the classical recommendations advise urinary diversion and delayed treatment, the immediate approach is feasible, and indeed seems to improve results in complications, stay and long-term renal function. In situations of postoperative peritonitis secondary to a ureteral fistula, immediate LUR offers specific advantages, at least theoretically, for the protective effect of pneumoperitoneum in abdominal sepsis.

journal_name

Arch Esp Urol

authors

González Rodríguez I,Gil Ugarteburu R,Fernández-Pello S,Díaz Méndez B,Blanco Fernández R,Mosquera Madera J

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

412-421

issue

4

eissn

0004-0614

issn

1576-8260

journal_volume

70

pub_type

杂志文章,评审
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    doi:

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    doi:

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    更新日期:1997-03-01 00:00:00

  • [Endourologic treatment of uretero-ileal stenosis].

    abstract:OBJECTIVES:Ureterointestinal stricture represents a serious problem whose management has traditionally been by open surgery. Endourological treatment is an alternative that is generally free from the complications of open surgery, but with a lower success rate. The efficacy of endourological treatment is analyzed in 14...

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    pub_type: 临床试验,杂志文章,评审

    doi:

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  • [Tumor growth fraction and its relationship with morphology of transitional carcinoma of the bladder].

    abstract::Papillary transitional cell carcinoma of the bladder (PTCCB) is characterized by a high recurrence rate with infiltration of bladder wall and surrounding tissues. The outcome is poor in 10-20% of the cases and these cannot be detected by conventional methods. Different methods have been utilized to identify this high ...

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    pub_type: 杂志文章

    doi:

    authors: de Chirife AM,Giménez LB,Marino LA,Celeste F

    更新日期:1993-01-01 00:00:00

  • [Endoscopic treatment of vesicoureteral reflux (VUR). Comparison of various substances. Long-term results].

    abstract:OBJECTIVES:The VUR is one of the most frequent pathologies in pediatric urology. Classically it has been managed with medical or surgical treatment depending on age, grade, and other variables. Over the last years, urologists have started to perform endoscopic treatment with various substances, surgery but minimally in...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

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    authors: Escala Aguirre JM,Cadena González Y,Retamal Pinto G,López Egaña PJ,Letelier Cancino N,Zubieta Acuña R

    更新日期:2008-03-01 00:00:00

  • [Early calculogenesis caused by ureolytic infection of the double-J ureteral catheter].

    abstract::Stone formation in the double J ureteral catheter is an uncommon complication that generally appears in patients that are predisposed to stone formation and persistent infection of the urinary tract. We report on a 29-year-old female patient in whom stone formation was observed in both ends of the catheter, less than ...

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    更新日期:1989-01-01 00:00:00

  • [Renal carcinoma metastatic to the peritoneum. Case report].

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  • [Occult cancer in patients with symptomatic benign prostatic hyperplasia].

    abstract::The results of a prospective study undertaken in 29 patients with symptomatic benign prostatic hyperplasia (BPH) are presented. Transrectal ultrasound, ultrasound-guided biopsy and prostate specific antigen (PSA) were utilized in the search for hidden cancer of the prostate. However, no cancer was detected in any pati...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Rodríguez Duarte C,Aguillón J,Rodríguez H

    更新日期:1991-05-01 00:00:00

  • When and how to treat caliceal stones.

    abstract::Currently, there are no guidelines for the selection of patients for caliceal stone removal, although there is no doubt that urologists are taking a more aggressive approach now that treatments with low morbidity are available. We discuss when and how to treat patients with symptomatic and asymptomatic caliceal stones...

    journal_title:Archivos espanoles de urologia

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    authors: Moskowitz MO,Smith AD

    更新日期:1992-10-01 00:00:00

  • [Can indexes based on PSA determine which patients should undergo repeated ultrasound-guided transrectal prostatic biopsy? Study on 546 patients who underwent repeated biopsy].

    abstract:OBJECTIVES:Ultrasound guided prostate biopsy is the most effective test for prostate cancer diagnosis, but its sensitivity is not higher than 80% so that biopsy repetition must be considered in patients with persistent diagnostic doubts after a previous negative one. However, the majority will be negative as it happene...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Rodríguez-Patrón Rodríguez R,Mayayo Dehesa T,González Galán A,Zuccarino AL,García González R,Cuesta Roca C

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  • [Clinical trial with intravesical alfa-2b interferon for the prevention of T1 transitional carcinoma of the bladder: preliminary results. Review of the bibliography].

    abstract:OBJECTIVE:To assess the efficacy of 60 MU intravesical alpha-2b interferon (IFN) in preventing recurrence of transitional cell carcinoma of the bladder. METHODS:A prospective, randomized double-blind study was conducted to assess the efficacy of 60 MU intravesical alpha-2b IFN compared to a control group. T1G2-G3 and ...

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    pub_type: 临床试验,杂志文章,随机对照试验,评审

    doi:

    authors: Portillo Martín JA,Martín García B,Hernández Rodríguez R,Correas Gómez MA,Gutiérrez Baños JL,del Valle Schaan JI,Monge Mirallas JM,Roca Edreira A

    更新日期:1995-06-01 00:00:00

  • [Epidemiology of cancer of the prostate. Descriptive study].

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    authors: Bravo MP,de Palacio A,del Rey Calero J

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  • [Precocious puberty in a 6-year-old boy with bilateral cryptorchidism].

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    doi:

    authors: Alonso Domínguez FJ,Osorio Acosta VA

    更新日期:2004-10-01 00:00:00

  • [Concurrent tumors in a patient with giant hydronephrosis].

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    更新日期:2006-01-01 00:00:00

  • [Treatment of calcium kidney lithiasis. ESWL, NLP, open surgery].

    abstract:OBJECTIVE:To review current management of renal calcium stones. METHODS:Data from our experience are presented and the literature is reviewed. The results and indications of treatment are analyzed. RESULTS/CONCLUSIONS:Pyelic calculi are the best indication for ESWL. The success rate ranges from 33%-90% and is influen...

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    doi:

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    更新日期:2001-11-01 00:00:00

  • [Frontal mass simulating lipoma as a clinical presentation of prostatic adenocarcinoma].

    abstract:OBJECTIVE:To report one case of metastatic prostatic carcinoma with a gaudy presentation as a lump which resulted to be a cutaneous metastasis. METHODS:We describe the debut in a patient, who thanks to the pathologic analysis of a lesion mimicking a lipoma, which was reported as adenocarcinoma, was worked up for prost...

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    pub_type: 杂志文章

    doi:

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  • [Endoscopically treated vesicoureteral reflux: Evolution of the recurrences.]

    abstract:OBJECTIVES:In recent years, different studies have mentioned the recurrence of vesicoureteral reflux (VUR) endoscopically resolved, an exceptional event after open surgery. The aim of this study is to describe the evolution of the cases of recurrence identified in our center to assess the importance of this event. MET...

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    pub_type: 杂志文章

    doi:

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  • Management of patients with clinical stage I nonseminomatous testicular germ cell tumours: active surveillance versus primary chemotherapy versus nerve sparing retroperitoneal lymphadenectomy.

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    pub_type: 杂志文章,评审

    doi:

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    doi:

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  • [Arterial priapism. Resolution following embolization with autologous thrombus].

    abstract:OBJECTIVE:To report our experience with the management of arterial priapism by embolization. METHODS:Two patients with arterial priapism secondary to perineal trauma are described. Diagnostic evaluation included intracorporal blood gas, echo Doppler and selective pudendal arteriographic assessment. Treatment was by se...

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    doi:

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  • [Nanobacteria and urinary system lithiasis].

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    pub_type: 杂志文章,评审

    doi:

    authors: García Cuerpo E

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  • [Artificial sphincter implantation in women with urinary incontinence using a combined abdomino-vaginal approach].

    abstract:OBJECTIVE:The artificial sphincter has been utilized for urinary incontinence due to intrinsic sphincteric insufficiency, with good fixation of the urethra and a maximum urethral closing pressure of 20-30 cms H2O, or after failed attempts at correction using other techniques. This procedure is difficult to perform sinc...

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    doi:

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  • [The role of inguinal lymphadenectomy in epidermoid carcinoma of the penis. Use of Ligasure and analysis of the results].

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    doi:

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