title: [Technical features of uretral intestinoplasty. Part 3: laparoscopic ileo- and appendiceal ureteroplasty].
abstract: OBJECTIVE
  Presentation of the results and the technical features of the laparoscopic intestinal and appendicular ureteroplasty.
  
  
  METHODS
  From 2001 to 2015, intestinal and appendicular ureteroplasty was performed in 103 patients. ileum was used for the replacement of ureteral defects in 78 (75.7%) patients, appendix - in 21 (20.4%), and colon - in 4 (3.9%). In 10 (9.7%) cases, the surgery was performed laparoscopically. Among them, 7 patients underwent ileoureteroplasty (6 - laparoscopic ileoureterocystoanastomosis, 1 - right-sided laparoscopic ileoureterocystoanastomosis by Yang-Monti) and 3 patients underwent appendiceal ureteroplasty. In one case, ileoureteroplasy was performed in patient with complete ureter duplication.
  
  
  RESULTS
  The period of follow-up varied from 2 to 14 years, and the average follow-up period was 8+/-5.8 years. Complications occurred in 8 (8.1%) patients who underwent open ileo- and appendiceal ureteroplasty. Among the 10 patients who underwent laparoscopic surgery complications were not observed. The length of postoperative hospital stay was significantly shorter in patients who underwent laparoscopic surgery (median, 6 days) than in patients who underwent open surgery (median, 12 days). The results of treatment in all patients were successful. There were no fatal outcomes.
  
  
  CONCLUSIONS
  The use of endovideosurgery for intestinal and appendicular ureteroplasty reduces surgical injury and reduces the length of hospital stay. However, there are not enough publications on this issue available in modern literature. To date, there are few number of operations performed, and it is not allow to consider the findings and conclusions as statistically significant.
authors.affiliation: Department of Urology of the North-Western State Medical University n.a. I.I. Mechnikov, City Multi-Field Hospital 2, Urological unit.
authors.forename: B K
authors.initials: BK
authors.lastname: Komyakov
authors.affiliation: Department of Urology of the North-Western State Medical University n.a. I.I. Mechnikov, City Multi-Field Hospital 2, Urological unit.
authors.forename: B G
authors.initials: BG
authors.lastname: Guliev
authors.affiliation: Department of Urology of the North-Western State Medical University n.a. I.I. Mechnikov, City Multi-Field Hospital 2, Urological unit.
authors.forename: V A
authors.initials: VA
authors.lastname: Ochelenko
mesh_terms: D000714:Anastomosis, Surgical; D001065:Appendix / Q000637:transplantation*; D003106:Colon / Q000637:transplantation; D005260:Female; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D014513:Ureter / Q000601:surgery*; D014515:Ureteral Diseases / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*
keywords: appendix; intestinoplasty; laparoscopy; ureter