Laparoscopic ileal ureter.
OBJECTIVE
We describe the operative technique of laparoscopic ileal ureter replacement.


METHODS
A transperitoneal 3-port approach was used. Ileovesical and pyeloileal anastomoses were performed with intracorporeal laparoscopic freehand suturing and knot tying techniques.


RESULTS
Operating time was 8 hours and blood loss was 200 cc. Both anastomoses were immediately watertight. Hospital stay was 4 days and a cystogram at 14 days confirmed widely patent anastomoses without extravasation.


CONCLUSIONS
Laparoscopic ileal ureter replacement satisfactorily duplicates established open surgical principles. The laparoscopic technique is efficient and technically straightforward.
Gill
I S
IS
Department of Urology, Minimally Invasive Surgery Center, The Cleveland Clinic Foundation, Ohio 44195, USA.
Savage
S J
SJ
Senagore
A J
AJ
Sung
G T
GT
D000368:Aged; D000369:Aged, 80 and over; D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D006801:Humans; D007082:Ileum / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D014516:Ureteral Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*