Laparoscopic Treatment of Retroperitoneal Fibrosis

Fugita, Oscar Eduardo Hidetoshi; Jarrett, Thomas W.; Kavoussi, Parviz K.; Kavoussi, Louis R.

doi:10.1089/089277902320913251

Cited by 52 publications

(36 citation statements)

References 16 publications

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“…Laparoscopic biopsy and ureterolysis are also possible [18, 19]. The ability to obtain a tissue diagnosis – and exclude malignancy – is one of the reasons commonly cited as an indication for this approach.…”

Section: Discussionmentioning

confidence: 99%

Successful Use of Steroids and Ureteric Stents in 24 Patients with Idiopathic Retroperitoneal Fibrosis: A Retrospective Study

et al. 2008

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Background/Aims: Retroperitoneal fibrosis (RPF) is a chronic inflammatory disorder causing obstructive nephropathy and renal failure. We reviewed our management of this condition. Method: All patients with RPF treated at a single center over a 15-year period were identified. A full review of notes and computer records was undertaken. Results: Data was available on 27 patients, 3 of which were excluded from later analysis. Diagnosis was based on clinical history and cross-sectional imaging. Retroperitoneal biopsy was undertaken in 3 patients. 96% had significant renal impairment at presentation with a mean serum creatinine of 688 µmol/l. 46% required emergency hemodialysis. All patients were treated with a combination of ureteric stents and/or steroids with an excellent clinical response. The mean best creatinine reached by the cohort was 136 µmol/l, and renal function remained stable in the long term. No patients required chronic dialysis. Ureteric stents were removed within 12 months and low-dose steroids were continued for a mean of 34 months. Recurrent disease was observed in 25% of patients, who all responded well to further steroid therapy. Mean duration of follow-up was 76 months. Conclusions: RPF is very effectively treated by a combination of ureteric stents and steroids, with excellent long-term results using this approach. Continued follow-up is advised because of the possibility of recurrent disease.

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Section: Discussionmentioning

confidence: 99%

Successful Use of Steroids and Ureteric Stents in 24 Patients with Idiopathic Retroperitoneal Fibrosis: A Retrospective Study

et al. 2008

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“…Surgical treatment includes temporary decompression by percutaneous nephrostomy or ureteral stenting for obstructive uropathy, and definitive treatment includes open or laparoscopic ureterolysis, anterior transposition or omental wrapping of the involved ureter, and more recently, ureterolysis and omental wrapping with Gore-Tex, excision of the ureter and reanastomosis, fashioning of a posterior preperitoneal flap, and renal autotransplantation (12,13).…”

Section: Discussionmentioning

confidence: 99%

Presentation of idiopathic retroperitoneal fibrosis at a young age: A rare case report

Minocha

Setia

2016

IRDR

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“…Since then, laparoscopy has been demonstrated as an alternative technique, with less morbidity, for the surgical approach this disease. 6,10,11 In 1992, Kavoussi and collegues 10 introduced laparoscopic ureterolysis and, in the 2002 series of Fugita and coworkers, 11 success rates were 85%, with 92% of patients demonstrating durable freedom from ureteral obstruction at a mean followup of 30 months postoperatively. For their unilateral ureterolysis patients (N ϭ 7), mean operative time was less than 4 hours (235 minutes), and mean estimated blood loss 342 mL.…”

Section: Discussionmentioning

confidence: 99%

Robot-Assisted Ureterolysis, Retroperitoneal Biopsy, and Omental Wrap: Pilot Series for the Treatment of Idiopathic Retroperitoneal Fibrosis

Mufarrij

Lipkin

Stifelman

2008

Journal of Endourology

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Our study suggests that robot-assisted ureterolysis with laparoscopic or robot-assisted omental wrapping is a feasible alternative to the more morbid open procedure and compares favorably to the purely laparoscopic technique with respect to operative times, estimated blood loss, length of stay, and postoperative relief of obstruction. This procedure can be performed entirely robotically, which provided several advantages over the other techniques.

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Laparoscopic Treatment of Retroperitoneal Fibrosis

Abstract: Laparoscopic ureterolysis is an option to treat RPF. It is not free of complications and failures, and its precise role in the treatment of RPF still needs to be judged with longer follow-up and larger number of patients.

Cited by 52 publications

References 16 publications

Successful Use of Steroids and Ureteric Stents in 24 Patients with Idiopathic Retroperitoneal Fibrosis: A Retrospective Study

Successful Use of Steroids and Ureteric Stents in 24 Patients with Idiopathic Retroperitoneal Fibrosis: A Retrospective Study

Presentation of idiopathic retroperitoneal fibrosis at a young age: A rare case report

Robot-Assisted Ureterolysis, Retroperitoneal Biopsy, and Omental Wrap: Pilot Series for the Treatment of Idiopathic Retroperitoneal Fibrosis

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