Abstract：
:Reconstructive surgery for salvage of giant hydronephrosis is associated with unique challenges. We introduce the surgical technique of laparoscopic ureterocalicostomy for giant hydronephrosis. A transperitoneal five-port access was created and, after reflecting the colon, the lower pole of the hydronephrotic sac was excised. A wide, spatulated end-to-end ureterocaliceal anastomosis was performed. The sac was decompressed slowly in a controlled manner, which helped during dissection. At 3 months of follow-up, the patient was symptom free, and retrograde ureterography showed a wide, patent anastomosis. Laparoscopic ureterocalicostomy is technically feasible for the salvage of a giant hydronephrotic kidney and duplicates the results of open surgery.
journal_name
Urologyjournal_title
Urologyauthors
Agarwal MM,Sharma D,Singh SK,Kumar S,Bhattacharya A,Acharya N,Mandal AKdoi
10.1016/j.urology.2007.06.1088subject
Has Abstractpub_date
2007-09-01 00:00:00pages
590.e7-10issue
3eissn
0090-4295issn
1527-9995pii
S0090-4295(07)01767-0journal_volume
70pub_type
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