title: Laparoscopic ureteroneocystostomy.
abstract: BACKGROUND
  In gynecologic surgery, there is always the possibility that ureteral injuries will occur intraoperatively. Traditionally, ureteral injuries are treated by laparotomy, which increases morbidity. This inspired us to develop a laparoscopic alternative to deal with accidental intraoperative ureteral injuries.
  
  
  METHODS
  A 49-year-old woman with stage Ia1 cervical cancer found after conization was to undergo a laparoscopic Piver class 2 hysterectomy. Because the ureters could not be effectively mobilized as a result of pelvic fibrosis, the left ureter was accidentally transected. The patient underwent a laparoscopic extravesical ureteroneocystostomy.
  
  
  CONCLUSIONS
  Laparoscopic ureteral reimplantation is technically possible and is a viable alternative to open surgery.
authors: Department of Obstetrics and Gynecology, Kurashiki Medical Center, Kurashiki, Japan. cadok@sqr.or.jp
authors: Masaaki
authors: M
authors: Andou
authors: Tamotsu
authors: T
authors: Yoshioka
authors: Kenichiro
authors: K
authors: Ikuma
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D007431:Intraoperative Complications; D010535:Laparoscopy; D008875:Middle Aged; D014513:Ureter / Q000293:injuries / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*