Retroperitoneoscopic cutaneous ureterostomy.
A 56-year-old woman presented with bilateral ureteral stenosis and a vesicovaginal fistula secondary to advanced cervical carcinoma. Due to the long-standing obstruction she had a non-functioning right kidney. As a first step the function of the contralateral kidney was restored by percutaneous nephrostomy; two months later endoscopic cutaneous ureterostomy was performed using a four-port retroperitoneal approach. The ureter was mobilized, transected and pulled out through a 10-mm trocar in the mid-clavicular line. The total operative time was 165 min with an estimated intraoperative blood loss of less than 30 ml. Convalescence was short.
Altarac
S
S
Department of Urology, University of Innsbruck, Austria.
Janetschek
G
G
D005260:Female; D006801:Humans; D020706:Laparoscopes; D008875:Middle Aged; D009367:Neoplasm Staging; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation*; D012187:Retroperitoneal Space; D013525:Surgical Instruments; D013727:Terminal Care; D014513:Ureter / Q000473:pathology / Q000601:surgery; D014517:Ureteral Obstruction / Q000473:pathology / Q000601:surgery*; D014547:Urinary Diversion / Q000295:instrumentation*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*