title: A simplified technique for laparoscopic ureteroneocystostomy without ureteral nipple or submucosal tunneling.
abstract: OBJECTIVE
  To present our preliminary experience with laparoscopic ureter reimplantation for distal ureteral stricture without an everted ureteral nipple or submucosal tunneling, and to evaluate its clinical feasibility, safety, and validity.
  
  
  METHODS
  Six patients with distal ureteral stricture underwent transperitoneal laparoscopic ureteral reimplantation. The ureter was reimplanted into the bladder without everting the ureter or tunneling construction. The seromuscular wall of the ureter was anastomosed circumferentially to the detrusor muscle using continuous absorbable sutures.
  
  
  RESULTS
  All patients had no intraoperative complications or need for open conversion. Intravenous urography 3 months later showed normal drainage without obstruction or reflux. In three patients, hydronephrosis was not revealed by ultrasonography 6 months later.
  
  
  CONCLUSIONS
  Laparoscopic noneverted ureteral reimplantation is technically simple, reliable, effective, and feasible.
authors.affiliation: Department of Urology, General Hospital of People's Liberation Army, Beijing, China. jpgao@163.com
authors.forename: Jiangping
authors.initials: J
authors.lastname: Gao
authors.forename: Jun
authors.initials: J
authors.lastname: Dong
authors.forename: Axiang
authors.initials: A
authors.lastname: Xu
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Lixin
authors.initials: L
authors.lastname: Shi
authors.forename: Gang
authors.initials: G
authors.lastname: Guo
authors.forename: Jie
authors.initials: J
authors.lastname: Zhu
authors.forename: Baofa
authors.initials: B
authors.lastname: Hong
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003559:Cystostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012092:Replantation / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014567:Urography