title: Retroperitoneoscopic transureteroureterostomy with cutaneous ureterostomy to salvage failed ileal conduit urinary diversion.
abstract: Reconstruction for failed urinary diversion is technically challenging, due to severe tissue adhesion around the anastomotic site. We report successful laparoscopic transureteroureterostomy with cutaneous ureterostomy via a completely extraperitoneal approach to salvage failed ileal conduit in two patients with necrotic ileal conduit and bilateral anastomotic obstruction, respectively. This novel, less invasive approach may offer a viable alternative to open surgical revision for failed ileal conduit urinary diversion.
authors: Department of Urology, Tohoku University School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8575, Japan. yarai@uro.med.tohoku.ac.jp
authors: Yasuhiro
authors: Y
authors: Kaiho
authors: Akihiro
authors: A
authors: Ito
authors: Kenji
authors: K
authors: Numahata
authors: Shigeto
authors: S
authors: Ishidoya
authors: Yoichi
authors: Y
authors: Arai
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D009336:Necrosis; D012086:Reoperation; D012187:Retroperitoneal Space / Q000601:surgery; D054047:Surgical Stomas; D017211:Treatment Failure; D014513:Ureter / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects*; D014567:Urography