Bilateral Laparoscopic
Ureterolysis

Puppó, P.; Carmignani, G.; Gallucci, Michele; Ricciotti, G.; Perachino, M.

doi:10.1159/000475253

Cited by 31 publications

(16 citation statements)

References 3 publications

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“…It has been recently reported that bilateral ureterolysis can be per formed laparoscopically [8]. The laparoscopic procedure is a useful alternative to open-surgical management for idiopathic retroperitoneal fibrosis, particularly in patients with a short stricture.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Ureterolysis for Idiopathic Retroperitoneal Fibrosis

et al. 1994

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Section: Resultsmentioning

confidence: 99%

Laparoscopic Ureterolysis for Idiopathic Retroperitoneal Fibrosis

et al. 1994

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“…Unilateral and bilateral ureterolysis techniques were initially described by Kavoussi et al [7] and Puppo et al [8]. In extended endoscopic dissections reaching from the ureteral crossing of the iliac vessels up to the renal pelvis, the use of two monitors is advantageous.…”

Section: Discussionmentioning

confidence: 99%

“…An endo scopic Babcock clamp provides safe and easy positioning of and traction on the ureters. For this purpose Kavoussi et al [7] and Puppo et al [8] used a rubber sling. We have practiced dissection of omental flaps during laparoscopic marsupialization of lymphoceles following kidney trans plantation.…”

Section: Discussionmentioning

confidence: 99%

“…The male:female ratio is 2:1. The condition most com monly occurs in adults, but may even be seen in children [1], The treatment is usually surgical: the ureters must be freed from the fibrous plaque and placed away from the inflammatory process by intraperitoncalization [6][7][8], The treatment may be complemented by immunosup pressive medication [4],…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Bilateral Ureterolysis in Ormond’s Disease

Boeckmann

Wolff²,

Adam³

et al. 1996

Urol Int

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We report a case of retroperitoneal fibrosis with dilation of the upper urinary tract on both sides and impaired renal function in a 66-year-old female. The patient was successfully treated by laparoscopic ureterolysis and intraperitonealization of both ureters with subsequent immunosuppressive medication. Due to intraoperative subcutaneous emphysema, surgical therapy had to be performed as a two-step procedure but postoperative morbidity was minimal with quick recovery. Laparoscopic ureterolysis is a reconstructive procedure and the ureters are accessible in full length either transperitoneally or retroperitoneally.

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“…When this is not possible, the clinical or surgical treatment for IRF can be performed, with similar results 2,9,12 . Since 1992, several cases of laparoscopic ureterolysis and intraperitonealisation have been described, with low morbidity rates and no deaths reported 9,[13][14][15][16][17][18] . Elashry, et al compared the results of 6 laparoscopic surgeries with 7 open surgeries, all unilateral ureterolysis cases, and concluded that the laparoscopic approach is superior in all considered aspects, with the only exception being mean surgical time: 255 minutes for the laparoscopy versus 232 minutes for the open surgery 9 .…”

mentioning

confidence: 99%

Laparoscopic treatment of retroperitoneal fibrosis: report of two cases and review of the literature

et al. 2000

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SUMMARY:Objectives: We present the results of treatment by laparoscopy of two patients with retroperitoneal fibrosis and review the literature since 1992, when the first case of this disease that was treated using laparoscopy was published. We also discuss the contemporary alternatives of clinical treatment with corticosteroids and tamoxifen.Case report: Two female patients, one with idiopathic retroperitoneal fibrosis, and other with retroperitoneal fibrosis associated with Riedel's thyroiditis, were treated using laparoscopic surgery. Both cases had bilateral pelvic ureteral obstruction and were treated using the same technique: transperitoneal laparoscopy, medial mobilization of both colons, liberation of both ureters from the fibrosis, and intraperitonealisation of the ureters. Double-J catheters were inserted before the operations and removed 3 weeks after the procedures. The first patient underwent intraperitonealisation of both ureters in a single procedure. The other had 2 different surgical procedures because of technical difficulties during the first operation. Both patients were followed for more than 1 year and recovered completely from the renal insufficiency. One of them still has occasional vague lumbar pain. There were no abnormalities in the intravenous pyelography in either case.Conclusions: Surgical correction of retroperitoneal fibrosis, when indicated, should be attempted using laparoscopy. If possible, bilateral ureterolysis and intraperitonealisation of both ureters should be performed in the same operation.

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Bilateral Laparoscopic Ureterolysis

Cited by 31 publications

References 3 publications

Laparoscopic Ureterolysis for Idiopathic Retroperitoneal Fibrosis

Laparoscopic Ureterolysis for Idiopathic Retroperitoneal Fibrosis

Laparoscopic Bilateral Ureterolysis in Ormond’s Disease

Laparoscopic treatment of retroperitoneal fibrosis: report of two cases and review of the literature

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