Ureteropelvic junction (UPJ) narrowing with an intrarenal pelvis and grossly dilated calices may be a challenging problem especially in failed pyeloplasty. When there is a long stenotic UPJ segment or the area is too scarred to permit a tension-free pyeloplasty, ureterocalicostomy is a good option [1–3].
Newer hemostatic technologies allow better visibility and less blood loss during renal parenchymal transection, and with experience in laparoscopic suturing techniques laparoscopic ureterocalicostomy can be performed safely and effectively.
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References
Hawthorne NJ, Zineke H, Kelalis PP (1976) Ureterocalicostomy: an alternative to nephrectomy. J Urol 115:583–586.
Ramalingam M, Senthil K, Selvarajan K, Pai MG (2005) Laparoscopic ureterocalicostomy—our experience in 3 patients. J Endourol 19:A268(abstr).
Ross JH, Streem SB, Novick AC, Kay R, Montie J (1990) Ureterocalicostomy for reconstruction of complicated pelviureter junction obstruction. Br J Urol 65:322–325.
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Ramalingam, M., Senthil, K. (2009). Laparoscopic Ureterocalicostomy. In: Ramalingam, M., Patel, V.R. (eds) Operative Atlas of Laparoscopic Reconstructive Urology. Springer, London. https://doi.org/10.1007/978-1-84800-151-0_7
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DOI: https://doi.org/10.1007/978-1-84800-151-0_7
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