Laparoscopic transperitoneal and extraperitoneal reconstructive plastic surgery on the ureter
The results of laparoscopic reconstructive operations on ureter distal of ureteropelvic junction are analyzed. The study included 19 patients with different obstructive lesions of the ureter who underwent surgery in the period from 2003 to 2012. According to the method of surgical treatment, the patients were divided into three groups. Ureteroureteroanastomosis was formed in 6 patients, ureterocystoanastomosis - in 5 patients, and ureterolysis was performed in 8 patients. Mean duration of operations ranged from 113 to 210 minutes. There were no requirements of conversion to open surgery in any case. Significant blood loss and other intraoperative complications were not observed. It is concluded that laparoscopic reconstructive plastic surgery in these patients can be performed with good effect equal to open surgery.