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Case Reports
. 2010 Apr;6(2):53-5.
doi: 10.4103/0972-9941.65166.

Laparoscopic transperitoneal pyelopyelostomy and ureteroureterostomy of retrocaval ureter: Report of two cases and review of the literature

Onkar Singh  1 , Shilpi Singh Gupta, Ankur Hastir, Nand Kishore Arvind
Affiliations
Case Reports

Laparoscopic transperitoneal pyelopyelostomy and ureteroureterostomy of retrocaval ureter: Report of two cases and review of the literature

Onkar Singh et al. J Minim Access Surg. 2010 Apr.

Abstract

We report two cases of retrocaval ureter that were successfully treated by a laparoscopic transperitoneal approach. Presentation of both these cases was with flank pain. Ureteroureterostomy using an intracorporeal suture technique was performed for one, and pyelopyelostomy for the other case. Operative time was 120 min and 110 min, respectively. Pyelopyelostomy was technically easier to perform than ureteroureterostomy that required an extra fourth port insertion to facilitate dissection. With increasing experience with the intracorporeal suturing laparoscopic technique of either pyelopyelostomy or ureteroureterostomy should be the first choice for retrocaval ureter.

Keywords: Retrocaval ureter; laparoscopy; pyelopyelostomy; ureteroureterostomy.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Excretory urogram showing reverse-J deformity of right proximal ureter with dilatation, associated with right hydronephrosis
Figure 2
Figure 2
(Right) Laparoscopic transperitoneal dissection of retrocaval ureter; upper ureter (PU) can be seen as going posterior to the inferior vena cava (IVC) while distal segment of the ureter (DU) clearly seen as it emerges from posterior of IVC. (Left) The retrocaval portion of the ureter being excised.
Figure 3
Figure 3
(Right) Proximal (PU) and distal (DU) segments of right ureter held up to show its course, IVC can be clearly seen as hooked up between these segments. (Left) Pyelopyelostomy being performed, double-J stent is visible with its upper end inside the pelvis.
See this image and copyright information in PMC

References

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