Laparoscopic ureteroneocystostomy

被引:31
作者
Andou, M
Yoshioka, T
Ikuma, K
机构
[1] Kurashiki Med Ctr, Dept Obstet & Gynecol, Kurashiki, Okayama 7108522, Japan
[2] Takarazuka City Hosp, Dept Obstet & Gynecol, Takarazuka, Hyogo, Japan
关键词
D O I
10.1016/S0029-7844(03)00675-6
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
BACKGROUND: In gynecologic surgery, there is always the possibility that ureteral injuries will occur intraoperatively. Traditionally, ureteral injuries are treated by laparotomy, which increases morbidity. This inspired us to develop a laparoscopic alternative to deal with accidental intraoperative ureteral injuries. CASE: A 49-year-old woman with stage Ia1 cervical cancer found after conization was to undergo a laparoscopic Piver class 2 hysterectomy. Because the ureters could not be effectively mobilized as a result of pelvic fibrosis, the left ureter was accidentally transected. The patient underwent a laparoscopic extravesical ureteroneocystostomy. CONCLUSION: Laparoscopic ureteral reimplantation is technically possible and is a viable alternative to open surgery.
引用
收藏
页码:1183 / 1185
页数:3
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