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Laparoscopic Intracorporeal Ileal Ureter

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Operative Atlas of Laparoscopic and Robotic Reconstructive Urology
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Abstract

Substitution of ureter using ileum is suitable in cases with long or multiple ureteric strictures. The usage of ileum as a replacement of ureter was first done by Shoemaker in 1906 and subsequently popularized by Goodwin in 1959 [1]. Historically, ileal ureter replacement is done for ureteric strictures secondary to tuberculosis. However, its usage has increased with increased incidence of ureteric strictures secondary to endoscopic procedures as well as radiation strictures. Ileum is a suitable substitute of ureter due to its rich blood supply and mobility. The risk of uraemia and acidosis is low if the selected patients have good renal functions preoperatively [2].

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References

  1. Abrams HJ, Buchbinder MI, et al. Experience with ileal ureters. Bull N Y Acad Med. 1977;53(4):329–37.

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  2. Armatys SA, Mellon MJ, Birhle R, et al. Use of ileum as ureteral replacement in urological recostruction. J Urol. 2009;181(1):177–81.

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  3. Gill IS, Savage SJ, Sung GT, et al. Laparoscopic ileal ureter. J Urol. 2000;163:1199–202.

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  4. Stein RJ, Gill IS, Desai MM, et al. Laparoscopic assisted ileal ureter: technique, outcomes and comparism to open procedure. J Urol. 2009;182:1032–9.

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Correspondence to Allen Sim .

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Sim, A., Schwentner, C. (2017). Laparoscopic Intracorporeal Ileal Ureter. In: Patel, V., Ramalingam, M. (eds) Operative Atlas of Laparoscopic and Robotic Reconstructive Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-33231-4_24

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  • DOI: https://doi.org/10.1007/978-3-319-33231-4_24

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33229-1

  • Online ISBN: 978-3-319-33231-4

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