Abstract
Reconstructive surgery of the upper urinary tract has historically been performed as an open surgical operation. Reasons for this included a combination of previously insufficient laparoscopic equipment and the mastering of a skill set with a steep learning curve (i.e., intracorporal suturing). As laparoscopic technology has advanced, and perhaps even more significantly with the addition of robotic assistance, minimally invasive approaches in upper tract urologic reconstruction have increased in scope. Currently, even uncommon and challenging reconstructive cases are being performed in a minimally invasive manner. This chapter seeks to discuss some of the less common minimally invasive reconstructive surgeries being performed by providing a detailed description of each in combination with a list of necessary equipment. Specific topics covered include distal ureteral reconstruction (ureteroneocystostomy, psoas hitch, Boari flap), ureteroneocystostomy, retrocaval ureter, and nephropexy. A brief review of the literature is also covered where applicable.
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References
Clayman RV, et al. Laparoscopic nephrectomy. N Engl J Med. 1991;324(19):1370–1.
Schuessler WW, et al. Laparoscopic dismembered pyeloplasty. J Urol. 1993;150(6):1795–9.
Reddy PK, Evans RM. Laparoscopic ureteroneocystostomy. J Urol. 1994;152(6 Pt 1):2057–9.
Tas S, et al. Incidence of ureteral stricture after ureterorenoscopic pneumatic lithotripsy for distal ureteral calculi. Arch Ital Urol Androl. 2011;83(3):141–6.
Roberts WW, et al. Ureteral stricture formation after removal of impacted calculi. J Urol. 1998;159(3):723–6.
Harmon WJ, et al. Ureteroscopy: current practice and long-term complications. J Urol. 1997;157(1):28–32.
Dalpiaz O, Ehrlich G, Quehenberger F, Pummer K, Zigeuner R. Distal ureterectomy is a safe surgical option in patients with urothelial carcinoma of the distal ureter. Urol Oncol. 2014;32:34.e1–8. PubMed PMID: 23506964.
Jeldres C, et al. Segmental ureterectomy can safely be performed in patients with transitional cell carcinoma of the ureter. J Urol. 2010;183(4):1324–9.
Wolf Jr JS, Elashry EM, Clayman RV. Long-term results of endoureterotomy for benign ureteral and ureteroenteric strictures. J Urol. 1997;158(3):759–64.
Wenske S, Olsson CA, Benson MC. Outcomes of distal ureteral reconstruction through reimplantation with psoas hitch, Boari flap, or ureteroneocystostomy for benign or malignant ureteral obstruction or injury. Urology. 2013;82(1):231–6.
Kozinn SI, et al. Robotic versus open distal ureteral reconstruction and reimplantation for benign stricture disease. J Endourol. 2012;26(2):147–51.
Hemal AK, et al. Experience with robot assisted laparoscopic surgery for upper and lower benign and malignant ureteral pathologies. Urology. 2010;76(6):1387–93.
Ogan K, et al. Laparoscopic ureteral reimplant for distal ureteral strictures. JSLS. 2008;12(1):13–7.
Soares RS, De Abreu Jr RA, Tavora JE. Laparoscopic ureteral reimplant for ureteral stricture. Int Braz J Urol. 2010;36(1):38–43.
Rassweiler JJ, et al. Ureteral reimplantation for management of ureteral strictures: a retrospective comparison of laparoscopic and open techniques. Eur Urol. 2007;51(2):512–22; discussion 522–3.
Gupta NP, et al. Retroperitoneoscopic ureterolysis and reconstruction of retrocaval ureter. J Endourol. 2001;15(3):291–3.
Ramalingam M, Selvarajan K. Laparoscopic transperitoneal repair of retrocaval ureter: report of two cases. J Endourol. 2003;17(2):85–7.
Ding GQ, et al. Pure transperitoneal laparoscopic correction of retrocaval ureter. Chin Med J (Engl). 2012;125(13):2382–5.
Chen S, et al. Retroperitoneal laparoscopic reconstruction for retrocaval ureter: experience and literature review. J Endourol. 2012;26(9):1147–52.
Chen Z, et al. Treatment of retrocaval ureter by retroperitoneal laparoscopic ureteroureterostomy: experience on 12 patients. J Laparoendosc Adv Surg Tech A. 2011;21(9):803–7.
Hubner WA, Schramek P, Pfluger H. Laparoscopic nephropexy. J Urol. 1994;152(4):1184–7.
Plas E, et al. Long-term followup after laparoscopic nephropexy for symptomatic nephroptosis. J Urol. 2001;166(2):449–52.
Matsui Y, et al. Laparoscopic nephropexy: treatment outcome and quality of life. Int J Urol. 2004;11(1):1–6.
Barber NJ, Thompson PM. Nephroptosis and nephropexy–hung up on the past? Eur Urol. 2004;46(4):428–33.
Chueh SC, et al. Retroperitoneoscopic nephropexy for symptomatic nephroptosis. Surg Endosc. 2002;16(11):1603–7.
Wyler SF, et al. Retroperitoneoscopic nephropexy for symptomatic nephroptosis using a modified three-point fixation technique. Urology. 2005;66(3):644–8.
Fornara P, Doehn C, Jocham D. Laparoscopic nephropexy: 3-year experience. J Urol. 1997;158(5):1679–83.
Gozen AS, et al. Long-term outcome of laparoscopic retroperitoneal nephropexy. J Endourol. 2008;22(10):2263–7.
Golab A, et al. Retroperitoneoscopic nephropexy in the treatment of symptomatic nephroptosis with 2-point renal fixation. Surg Laparosc Endosc Percutan Tech. 2009;19(4):356–9.
El-Shazly MA. Laparoscopic nephropexy using polyprolene mesh. Surg Laparosc Endosc Percutan Tech. 2011;21(3):188–90.
Baldassarre E, et al. Robotic nephropexy in case of symptomatic nephroptosis. Arch Ital Urol Androl. 2011;83(3):160–2.
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Gahan, J.C., Cadeddu, J.A. (2015). Laparoscopic and Robotic Reconstruction of the Upper Genitourinary Tract. In: Best, S., Nakada, S. (eds) Minimally Invasive Urology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1317-6_3
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