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Laparoscopic ureteroneocystostomy.

Masaaki Andou·Tamotsu Yoshioka·Kenichiro Ikuma
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Abstract

BACKGROUND: In gynecologic surgery, there is always the possibility that ureteral injuries will occur intraoperatively. Traditionally, ureteral injuries are treated by laparotomy, which increases morbidity. This inspired us to develop a laparoscopic alternative to deal with accidental intraoperative ureteral injuries. CASE: A 49-year-old woman with stage Ia1 cervical cancer found after conization was to undergo a laparoscopic Piver class 2 hysterectomy. Because the ureters could not be effectively mobilized as a result of pelvic fibrosis, the left ureter was accidentally transected. The patient underwent a laparoscopic extravesical ureteroneocystostomy. CONCLUSION: Laparoscopic ureteral reimplantation is technically possible and is a viable alternative to open surgery.

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Anastomosis, SurgicalFemaleHumansHysterectomyIntraoperative ComplicationsLaparoscopyMiddle AgedUreterUrinary BladderCase ReportsJournal Article

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BibTeXRIS

Masaaki Andou, Tamotsu Yoshioka, Kenichiro Ikuma. 2003. Laparoscopic ureteroneocystostomy.. https://doi.org/10.1016/s0029-7844(03)00675-6

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