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Laparoscopic ureterolysis for benign and malignant conditions
1Department of Urology, Boston University School of Medicine, Boston, Massachusetts 02118, USA.
Journal of Endourology
|August 2, 2005
Summary
Laparoscopic ureterolysis offers a minimally invasive option for ureteral obstruction caused by extrinsic compression. This approach is most established for retroperitoneal fibrosis and shows potential for select cancer patients.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Retroperitoneal Diseases
Background:
- Ureteral obstruction from extrinsic compression is rare, often stemming from retroperitoneal benign or malignant conditions.
- Laparoscopic ureterolysis presents a minimally invasive surgical alternative to open procedures for managing such obstructions.
Purpose of the Study:
- To review the current indications, surgical techniques, and outcomes of laparoscopic ureterolysis.
- To evaluate its application in both benign and malignant causes of extrinsic ureteral compression.
Main Methods:
- Review of existing literature on laparoscopic ureterolysis for extrinsic ureteral obstruction.
- Analysis of patient data, focusing on idiopathic retroperitoneal fibrosis and cancer-related etiologies.
Main Results:
- Laparoscopic ureterolysis is a feasible approach, particularly for idiopathic retroperitoneal fibrosis, with the largest patient series reported for this condition.
- Limited but emerging experience suggests potential candidacy for select patients with ureteral obstruction post-chemotherapy or radiotherapy.
Conclusions:
- Laparoscopic ureterolysis is a valuable minimally invasive technique for specific cases of extrinsic ureteral obstruction.
- Further long-term studies are necessary to fully establish the role and long-term efficacy of laparoscopic ureterolysis.