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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

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Published on: November 22, 2019

Appendix interposition for total left ureteral reconstruction.

Rafael Trindade Deyl¹, Márcio Augusto Averbeck, Gilberto Laurino Almeida

¹Urology Department, Santa Casa Hospital Complex, Santo Antonio Children's Hospital, Prof. Annes Dias Street, 285, Porto Alegre, Rio Grande do Sul 90020-090, Brazil.

Journal of Pediatric Urology

|December 26, 2008

Summary

This study presents the first case of total left ureteral reconstruction using a cecal appendix in a 3-month-old child. The appendix successfully bridged the defect, demonstrating a feasible surgical option for complex pediatric ureteral reconstruction.

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A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

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Published on: December 20, 2014

Area of Science:

Pediatric Urology
Surgical Reconstruction
Ureteral Defects

Background:

Appendix interposition is a known technique for partial and total ureteral reconstruction.
Previous literature has not documented appendix interposition for total left ureteral reconstruction.

Observation:

A 3-month-old infant with ureteral necrosis post-pyeloplasty required total left ureteral reconstruction.
A cecal appendix was utilized to connect the native kidney's renal pelvis to the urinary bladder.

Findings:

The surgical procedure resulted in an uneventful postoperative recovery.
Intravenous pyelogram confirmed successful flow through the appendicular graft.
The child remained asymptomatic with normal growth at 6-month follow-up.

Implications:

Total ureteral reconstruction with cecal appendix is a viable technique in young children.
This case establishes a precedent for using appendix interposition in total left ureteral reconstruction.
Long-term surveillance is necessary to monitor for potential late complications.