Laparoscopic Boari Flap Repair: Report of 3 Cases

Ramalingam, Manickam; Senthil, Kallappan; Pai, Mizar Ganapathy

doi:10.1089/lap.2007.0025

Cited by 16 publications

(8 citation statements)

References 9 publications

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“…Recently, several reported studies on robotic ureteroneocystostomy have been published showing successful results similar to those obtained with the laparoscopic technique. [ 20 22 23 24 25 26 27 28 29 ] The present study results are in similar lines with the previous conducted studies as depicted in Table 3 . Uberoi et al .…”

Section: Discussionsupporting

confidence: 92%

Laparoscopic ureteroneocystostomy for mid and lower ureteric strictures: Experience from a tertiary center

et al. 2018

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Purpose:The purpose of this study is to evaluate our experience of laparoscopic ureteroneocystostomy for mid and lower ureteral stricture in a tertiary center in North India.Materials and Methods:A total of 20 laparoscopic ureteroneocystostomy were performed with or without bladder flap procedures in 20 patients (13 females and 7 males) with various etiologies such as ureteric stricture, ureterovaginal fistula, endometriosis, and distal ureteric tumor at our hospital in a time frame from August 2013 to January 2017. Eight cases each presented after laparoscopic/open hysterectomy and postureterorenoscopic stone removal while two cases each presented secondary to endometriosis and distal ureteric tumor. Simple laparoscopic ureteroneocystostomy in 4, psoas hitch in 9, and Boari flap was done in 7 cases.Results:The mean patient age was 44.2 years (range 19–65), mean surgical time was 184.25 min (115–250 min.), mean amount of bleeding was 153.25 mL (90–250 mL), and mean hospital stay was 3.05 days (2–7 days). Female-to-male ratio was 1.3:0.7. There was one conversion to open during laparoscopic Boari reimplant because of inadvertent injury to external iliac vein. The mean follow-up was 22.35 months (6–45). All the patients were asymptomatic with the resolution of hydronephrosis on ultrasound and without any significant obstruction on renal scan.Conclusions:Laparoscopic ureteroneocystostomy with or without bladder flap (Boari) provides good functional outcomes with excellent success rates and minimal morbidity comparable to open surgery in patients with ureteric stricture.

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Section: Discussionsupporting

confidence: 92%

Laparoscopic ureteroneocystostomy for mid and lower ureteric strictures: Experience from a tertiary center

et al. 2018

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“…Case reports have since been described for this technique without a large single surgeon experience identified. 14,15 Most reports of laparoscopic distal ureteral reconstruction highlight the challenging nature of the procedure, particularly intracorporeal suturing of the distal ureter. While feasibility has been clearly demonstrated, significant experience with laparoscopy and excellent suturing skills are needed, which has limited its widespread use.…”

Section: Discussionmentioning

confidence: 99%

Robotic Versus Open Distal Ureteral Reconstruction and Reimplantation for Benign Stricture Disease

Kozinn

Canes

Sorcini

et al. 2012

Journal of Endourology

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“…[3,[6][7][8][9][10][11][12][13][14][15][16][17] Rassweiler et al [7] observed longer operative time (253 minutes vs. 220 minutes), shorter hospital stay (8 days vs.17 day) with 100% successs rate in the [11] 1 210 3 90 50 mg morphine…”

Section: Discussionmentioning

confidence: 99%

“…Ramalingam et al [8] Allarpathi et al [15] 2 RALBF UT 1 M 2R 245 2 30 6 22 mg morphine 1F Soares et al [16] 2 H 2F 1R US 1L 120 2 140 6 Gozen et al Ramalingam et al [8] performed laparoscopic ureteral reimplantation with Boari flap in 3 patients successfully with median operative time of 320 mins (range 300-320 min). Castillo et al [9] reported 9 cases of laparoscopic reimplantation procedure with Boari flap.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic ureteral reimplantation with Boari flap for the management of long- segment ureteral defect: A case series with review of the literature

Bansal¹,

Sinha²,

Jhanwar³

et al. 2017

Turkish Journal of Urology

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Objective: The incidence of ureteral stricture is showing a rising trend due to increased use of laparoscopic and upper urinary tract endoscopic procedures. Boari flap is the preferred method of repairing long-segment ureteral defects of 8-12 cm. The procedure has undergone change from classical open (transperitoneal and retroperitoneal) method to laparoscopic surgery and recently robotic surgery. Laparoscopic approach is cosmetically appealing, less morbid and with shorter hospital stay. In this case series, we report our experience of performing laparoscopic ureteral reimplantation with Boari flap in 3 patients. Material and methods:This prospective study was conducted between January 2011 December 2014. The patients with a long-segment ureteral defect who had undergone laparoscopic Boari flap reconstruction were included in the study. Outcome of laparoscopic ureteral reimplantation with Boari flap for the manangement of long segment ureteral defect was evaluated. Results:The procedure was performed on 3 patients, and male to female ratio was 1:2. One patient had bilateral and other two patient had left ureteral stricture. The mean length of ureteral stricture was 8.6 cm (range 8.2 -9.2 cm). The mean operative time was 206 min (190 to 220 min). The average estimated blood loss was 100 mL (range 90-110 mL) and mean hospital stay was 6 days (range 5 to 7 days). The mean follow up was 19 months (range 17-22 months). None of the patients experienced any complication related to the procedure in perioperative period. Conclusion:Laparoscopic ureteral reimplantation with Boari flap is safe, feasible and has excellent long term results. However, the procedure is technically challenging, requires extensive experience of intracorporeal suturing.

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Laparoscopic Boari Flap Repair: Report of 3 Cases

Abstract: Laparoscopic Boari flap reimplantation is a challenging procedure. With increasing technical skill and confidence, one can attempt the procedure with the obvious advantage to the patient.

Cited by 16 publications

References 9 publications

Laparoscopic ureteroneocystostomy for mid and lower ureteric strictures: Experience from a tertiary center

Laparoscopic ureteroneocystostomy for mid and lower ureteric strictures: Experience from a tertiary center

Robotic Versus Open Distal Ureteral Reconstruction and Reimplantation for Benign Stricture Disease

Laparoscopic ureteral reimplantation with Boari flap for the management of long- segment ureteral defect: A case series with review of the literature

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