title: Laparoscopic ileal ureter.
abstract: 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.
authors.affiliation: Department of Urology, Minimally Invasive Surgery Center, The Cleveland Clinic Foundation, Ohio 44195, USA.
authors.forename: I S
authors.initials: IS
authors.lastname: Gill
authors.forename: S J
authors.initials: SJ
authors.lastname: Savage
authors.forename: A J
authors.initials: AJ
authors.lastname: Senagore
authors.forename: G T
authors.initials: GT
authors.lastname: Sung
mesh_terms: 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*