Management of symptomatic ureteric stumps laparoscopically.
OBJECTIVE
To study the advantage of excision of the distal symptomatic ureteric stumps with the retroperitoneal laparoscopic approach.


METHODS
Four patients who had failed to settle their symptoms with the initial conservative management were included in the study. All underwent excision of the distal symptomatic ureteric stumps with the retroperitoneal laparoscopic approach and then received prophylactic antibiotics.


RESULTS
We have achieved better results than those reported in the literature in terms of operating time (mean 1 h 45 min), blood loss (< 10 mL), postoperative recovery (within 12 h) and hospital stay (< 48 h).


CONCLUSIONS
Retroperitoneal laparoscopic excision is a safe, simple and effective method in the management of symptomatic ureteric stumps.
Khan
A M
AM
Department of Surgery, King George Hospital, Ilford Essex, UK. dramirkhan@hotmail.com
Jacob
S
S
D000328:Adult; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008875:Middle Aged; D009392:Nephrectomy; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D012187:Retroperitoneal Space; D013997:Time Factors; D014513:Ureter / Q000601:surgery*; D014515:Ureteral Diseases / Q000601:surgery*