Hand-assisted laparoscopic ileal ureter substitution for ureteral obstruction after right ureteral rupture: A case
Masahiro Katsui1, Kota Umeda2, Seiya Hattori3
1Department of Urology, Kawasaki Municipal Hospital, 12-1 Shinkawadori, Kawasaki-ku, Kawasaki-city, Kanagawa, 210-0013, Japan.
Abstract:
Iatrogenic ureteral rupture is a serious complication. In the past, ileal ureter substitution was performed with open, laparoscopic, and robot-assisted procedure; however, there are problems with operation invasiveness and difficulty. We present a 72-year-old female whose ureter was completely injured at the ureteropelvic junction and torn longitudinally in full length at the time of transurethral lithotripsy. Although initially she had nephrostomy, we were able to internalize with hand-assisted laparoscopic ileal ureter substitution for obstruction over the full length of the ureter.
