Laparoscopic surgical correction ofcircuivicaval ureter

Treatment of Retrocaval Ureter by Retroperitoneal Laparoscopic Ureteroureterostomy: Experience on 12 Patients

“…10 In 1994, Baba et al reported the first case of laparoscopic pyeloureterostomy for an RCU in 560 minutes. 11 Then, Matsuda et al performed the LUUS by using the five-port approach in 450 minutes. 12 In 1999, Salomon et al first did the laparoscopic retroperitoneal ureteroureterostomy of an RCU in 270 minutes, and suggested that this was a more direct approach with greatly reduced operative time.…”

Robotic uretero-ureterostomy of the retrocaval ureter without excision of the retrocaval segment

“…The most challenging part of the procedure is intracorporeal suturing. 9 Excision of the retrocaval ureter segment is usually carried out, but this is controversial. [10][11][12] In a limited number of patients, transection of the distal dilated part of the renal pelvis and preservation of the retrocaval segment facilitated the repair and shortened operative time with good outcome.…”

“…[6][7][8] The use of the surgical robot facilitates the most challenging part of the procedure, which is intracorporeal suturing. 9 A surgical variation leading to preservation of the retrocaval segment facilitates the repair. 10 We report on a case of retrocaval ureter which we treated by pure robotic surgery with preservation of the retrocaval segment.…”

Robot-Assisted Laparoscopic Reconstruction of Retrocaval Ureter: Description and Video of Technique

“…5 The first successful laparoscopic attempts of repair of retrocaval ureter were reported in mid 1990s. 6,7 The first robot-assisted repair of a retrocaval ureter was reported in the pediatric population in 2006 by Gundeti et al and in the adult population by Hemal et al in 2008. 8,9 Neither author reported an adverse outcome in their experience.…”

“…5 Since the mid-1990s there has been a progression to minimally invasive laparoscopic correction of upper urinary tract anomalies without a compromise of surgical efficacy. 6,7 The da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA) offers the known benefits to complex urinary reconstruction of excellent visibility and ease of intracorporeal suturing. We describe the initial presentation, imaging, port placement, and operative technique including video presentation of a robot-assisted laparoscopic repair of a retrocaval ureter.…”