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      Comparison of the efficacy and safety of retroperitoneal laparoscopic and open surgery for the correction of retrocaval ureter

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          Abstract

          Objective

          The aim of this study was to compare the clinical efficacy and safety of retroperitoneal laparoscopic and open surgery for the correction of retrocaval ureter.

          Patients and methods

          Clinical data of 14 patients with retrocaval ureter were analyzed retrospectively. Among them, nine were treated by open surgical therapy and five by retroperitoneal laparoscopic surgery. The ureter was transpositioned to a normal anatomic position followed by laparoscopic intracorporeal uretero and ureteric anastomosis.

          Results

          Open surgery was successfully performed in nine cases. The mean surgery time was 95.6±22.0 min, and blood loss was 108.6±34.5 mL. The mean hospitalization time was 14.8±1.1 days, and the recovery time was 52.8±1.3 days. Retroperitoneal laparoscopic surgery was successfully performed in five cases without conversion to open surgery and without severe perioperative complications. The mean surgery time was 112.0±42.1 min, and blood loss was 45.3±15.1 mL. The mean hospitalization time was 7.3±1.9 days, and the recovery time was 23.6±2.4 days. Postoperative urine leakage occurred in one patient. No postoperative ureter stenosis occurred in patients who were treated by retroperitoneal laparoscopic surgery.

          Conclusion

          Retroperitoneal laparoscopic ureteroplasty in patients with retrocaval ureter is safe and effective with less trauma and faster recovery and could be used as first choice for the treatment of retrocaval ureter.

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          Most cited references 13

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          Pure transperitoneal laparoscopic correction of retrocaval ureter.

          Retrocaval ureter is a rare congenital abnormality. Operative repair is always suggested in cases of significant functional obstruction. Laparoscopic procedures have been employed as the minimally invasive therapeutic option for retrocaval ureter. However, the laparoscopic techniques for retrocaval ureter might be technically challenging to some surgeons. The aim of this article was to present our experience and surgical techniques of pure transperitoneal laparoscopic pyelopyelostomy and ureteroureterostomy in nine patients with retrocaval ureter.
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            Retroperitoneoscopic treatment of a retrocaval ureter.

            Retroperitoneoscopic surgery was performed on a 41-year-old man with a retrocaval ureter.
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              • Abstract: found
              • Article: not found

              Retroperitoneoscopic ureteroplasty for retrocaval ureter: report of nine cases and literature review.

              The aim of this study was to report the experience of retroperitoneal laparoscopic ureteroplasty for nine cases of retrocaval ureter.
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                Author and article information

                Journal
                Ther Clin Risk Manag
                Ther Clin Risk Manag
                Therapeutics and Clinical Risk Management
                Therapeutics and Clinical Risk Management
                Dove Medical Press
                1176-6336
                1178-203X
                2017
                06 June 2017
                : 13
                : 697-701
                Affiliations
                [1 ]Department of Urinary Surgery, The Affiliated Hospital of Xuzhou Medical University
                [2 ]Clinical College, Xuzhou Medical University, Xuzhou, People’s Republic of China
                Author notes
                Correspondence: Lijun Mao, Department of Urinary Surgery, The Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, People’s Republic of China, Email mljmlj05@ 123456126.com
                Article
                tcrm-13-697
                10.2147/TCRM.S139113
                5472419
                © 2017 Mao et al. This work is published and licensed by Dove Medical Press Limited

                The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

                Categories
                Original Research

                Medicine

                retrocaval ureter, laparoscopy, open surgery

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