Laparoscopic Transperitoneal Repair of Retrocaval Ureter: Report of Two Cases

Abstract

We report our experience in the laparoscopic transperitoneal repair of retrocaval ureter in two cases, highlighting a new technique of stenting.

Retrocaval Ureter in Children --- A Report of Eight Cases

“…It occurs more commonly on the right side than the left side and is usually associated with other IVC anomalies (2, 3). Common presentations are abdominal pain in the right lumbar region, recurrent urinary tract infection and haematuria (6,7). Retrocaval ureter can be classified into two types based on radiologic appearance (7).…”

“…These anomalies have been managed by transperitoneal and retroperitoneoscopic laparoscopy. Ramalingam and Selvarajan (7) found that transperitoneal intracorporeal suturing was less time-consuming and relatively easier than retroperitoneoscopic suturing. We believe that transperitoneal laparoscopic management is a safer, easier and less time-consuming technique.…”

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

“…4 However, this technique requires advanced laparoscopic skills, particularly with suturing compared to the transperitoneal approach. 13 The introduction of robotic-assisted surgery has facilitated intracorporeal suturing during reconstruction. Few cases were reported of pure robotic retrocaval ureter repair.…”

Retrocaval Ureter- A Rare Cause Of Hydronephrosis In Children

“…Treatment is ureteroureterostomy with anterior transposition of ureter, which has been performed by using open, laparoscopic [9] and retroperitoneoscopic [10] approaches. If there is severe…”

“…Open surgery was the first line successful treatment of this condition [11]. However, laparoscopic surgery is now used has been successfully described in small number of cases [9]. Recently LESS is emerging in an effort to raise the standard of laparoscopic procedures through a scar-free approach [12].…”