Laparoscopic ureterocalicostomy for salvage of giant hydronephrotic kidney: initial experience.
Reconstructive surgery for salvage of giant hydronephrosis is associated with unique challenges. We introduce the surgical technique of laparoscopic ureterocalicostomy for giant hydronephrosis. A transperitoneal five-port access was created and, after reflecting the colon, the lower pole of the hydronephrotic sac was excised. A wide, spatulated end-to-end ureterocaliceal anastomosis was performed. The sac was decompressed slowly in a controlled manner, which helped during dissection. At 3 months of follow-up, the patient was symptom free, and retrograde ureterography showed a wide, patent anastomosis. Laparoscopic ureterocalicostomy is technically feasible for the salvage of a giant hydronephrotic kidney and duplicates the results of open surgery.
Agarwal
Mayank Mohan
MM
Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. drmayank_22@yahoo.co.in
Sharma
Darshan
D
Singh
Shrawan K
SK
Kumar
Santosh
S
Bhattacharya
Aneesh
A
Acharya
Naveen
N
Mandal
Arup K
AK
D000328:Adult; D000714:Anastomosis, Surgical; D006801:Humans; D006869:Hydronephrosis / Q000473:pathology / Q000601:surgery*; D007669:Kidney Calculi / Q000601:surgery; D007670:Kidney Calices / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D016879:Salvage Therapy; D014513:Ureter / Q000473:pathology / Q000601:surgery*