Laparoscopy-assisted ileal ureter creation for multiple tuberculous strictures: report of two cases.
We describe in detail the technique of laparoscopy-assisted ileal ureter creation for multiple tuberculous ureteral strictures in two patients. The proximal anastomosis included an ileocalicostomy in the first patient and an ileopyelostomy in the second patient. The first patient had bowel entrapment behind the mesentery of the ileal loop, but the second patient had an uneventful postoperative recovery. Short-term follow-up showed good patency of the ileal loop. The variations in the technique that can cause postoperative problems are discussed, and the future of this technique is postulated.
Kamat
Nagesh
N
Department of Urology, Kamats Kidney Hospital, Baroda Gujarat, India. kamatnn@gmail.com
Khandelwal
Pankaj
P
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011859:Radiography; D014401:Tuberculosis, Urogenital / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014513:Ureter / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*