title: Laparoscopic Ureteroneocystostomy: Be Prepared!
abstract: OBJECTIVE
  To assess the outcomes and complications of laparoscopic ureteroneocystotomy in gynecologic surgery.
  
  
  METHODS
  We retrospectively reviewed all medical records of patients who underwent ureteroneocystostomy between April 2008 and May 2012.
  
  
  METHODS
  Retrospective case series study.
  
  
  METHODS
  A university tertiary care hospital.
  
  
  METHODS
  Nine patients underwent ureteroneocystostomy: 3 patients had ureteral endometriosis stenoses; and 6 patients had iatrogenic ureter injuries.
  
  
  METHODS
  All procedures were performed laparoscopically. The ureterovesical re-implantation was unilateral in 8 cases and bilateral for 1 patient.
  
  
  RESULTS
  The mean operating time was 226.7 min (range, 120-480). Average blood loss was 114.4 mL (range, 30-400). The mean duration of the in-dwelling catheter was 10.4 days (range, 7-21); the average hospital stay was 12.6 days (range, 6-26). The mean duration of the ureteral double J stent was 7.8 weeks (range, 6-16). One patient was re-operated for vaginal and laparoscopic drainage of a pelvic abscess on the sixth postoperative day. The median follow-up time was 20.8 months (range, 9-36), No patient had stenosis or breakdown of a suture line.
  
  
  CONCLUSIONS
  Our series confirms the feasibility and the effectiveness of laparoscopic ureteroneocystostomy. This minimally invasive approach, which avoids laparotomy, requires a multidisciplinary team.
authors: Department of Gynecological Surgery, CHU Estaing Clermont Ferrand, Clermont-Ferrand, France. Electronic address: nicolas.bourdel@gmail.com.
authors: Nicolas
authors: N
authors: Bourdel
authors: Department of Gynecological Surgery, CHU Estaing Clermont Ferrand, Clermont-Ferrand, France.
authors: Stephanie
authors: S
authors: Cognet
authors: Department of Gynecological Surgery, CHU Estaing Clermont Ferrand, Clermont-Ferrand, France; ALCOV ISIT (UMR6284 CNRS), Clermont-Ferrand, France.
authors: Michel
authors: M
authors: Canis
authors: Department of Urology, Polyclinique de Saint François, Desertines, France.
authors: Olivier
authors: O
authors: Berdugo
authors: Department of Gynecological Surgery, CHU Estaing Clermont Ferrand, Clermont-Ferrand, France; ALCOV ISIT (UMR6284 CNRS), Clermont-Ferrand, France.
authors: Revaz
authors: R
authors: Botchorishvili
authors: Department of Gynecological Surgery, CHU Estaing Clermont Ferrand, Clermont-Ferrand, France; ALCOV ISIT (UMR6284 CNRS), Clermont-Ferrand, France.
authors: Benoit
authors: B
authors: Rabischong
authors: Department of Gynecological Surgery, CHU Estaing Clermont Ferrand, Clermont-Ferrand, France; Department of Gynecology Oncology, McGill University, Royal Victoria Hospital, Montreal, Quebec, Canada.
authors: Kris
authors: K
authors: Jardon
mesh_terms: D000328:Adult; D000368:Aged; D003559:Cystostomy / Q000379:methods; D004715:Endometriosis / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D010535:Laparoscopy; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014513:Ureter / Q000293:injuries / Q000601:surgery*; D014515:Ureteral Diseases / Q000601:surgery*; D014517:Ureteral Obstruction / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*
keywords: Endometriosis; Gynecologic surgery; Laparoscopic ureteroneocystostomy; Laparoscopy; Lich Gregoir