Laparoscopic ureteral replacement by Boari flap: multi-institutional experience in 30 cases
O A Castillo1, J Travassos, F Escobar J
1Unidad de Urología y Centro de Cirugía Robótica, Clínica Indisa, Santiago, Chile; Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.
Actas Urologicas Espanolas
|August 7, 2013
Summary
This study shows laparoscopic Boari flap surgery offers successful short and long-term outcomes for distal ureteral reconstruction. The minimally invasive technique demonstrated a high success rate with minimal complications in 30 patients.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Reconstructive Surgery
Background:
- Distal ureteral injuries present a reconstructive challenge.
- The Boari flap is a recognized technique for ureteral repair.
- Laparoscopic approaches to the Boari flap are less frequently reported, particularly long-term outcomes.
Purpose of the Study:
- To evaluate the efficacy and safety of laparoscopic intracorporeal Boari flap for distal ureteral reconstruction.
- To present the multi-institutional experience and long-term results of this technique.
Main Methods:
- A multi-institutional retrospective analysis of 30 patients undergoing laparoscopic intracorporeal Boari flap.
- Standardized surgical technique across three Latin American centers.
- Prospective data collection and retrospective analysis of outcomes.
Main Results:
- The mean patient age was 43.2 years; 73.3% were female.
- Common etiologies included hysterectomy (46.6%) and ureterolithotomy (30%).
- The procedure had a 96.6% success rate with a mean follow-up of 32 months, low complication rates (16.6%), and no conversions to open surgery.
Conclusions:
- Laparoscopic Boari flap demonstrates favorable short- and long-term outcomes for distal ureteral reconstruction.
- This minimally invasive technique is safe and effective in experienced hands.
- Further research can support wider adoption of this approach.
