Laparoscopic ureterolysis and omental wrapping
Giuseppe Simone1, Costantino Leonardo, Rocco Papalia
1Department of Urology, Regina Elena Cancer Institute, Rome, Italy. puldet@gmail.com
Urology
|August 5, 2008
Summary
Laparoscopic ureterolysis with omental wrapping offers excellent midterm outcomes for idiopathic retroperitoneal fibrosis. This minimally invasive technique, simplified by the LigaSure device, is a safe and effective first-line treatment option.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Idiopathic retroperitoneal fibrosis (IRF) presents a significant clinical challenge.
- Traditional surgical approaches for IRF can be invasive.
Purpose of the Study:
- To detail a laparoscopic technique for ureterolysis and omental wrapping in IRF treatment.
- To evaluate the efficacy and safety of using the LigaSure device in this procedure.
Main Methods:
- Six male patients with IRF underwent laparoscopic ureterolysis (LU) and omental wrapping.
- The LigaSure device and Overholt laparoscopic forceps were utilized for ureterolysis.
- Omental flaps were secured to the psoas muscle.
Main Results:
- Mean operative time for bilateral LU was 200 minutes with minimal blood loss.
- Mean hospital stay was 3.33 days.
- At a mean follow-up of 37.5 months, all patients remained symptom-free with unobstructed renal units.
Conclusions:
- Laparoscopic ureterolysis and omental wrapping successfully reproduce open surgery steps with excellent midterm results.
- The LigaSure device enhances the feasibility and safety of the laparoscopic approach.
- This minimally invasive procedure demonstrates high effectiveness, supporting its consideration as a first-line treatment for IRF.