Laparoscopic ureterolysis with simultaneous ureteroscopy and percutaneous nephroscopy for treating complex ureteral obstruction after failed endoscopic intervention: A technical report

doi:10.1016/j.ajur.2015.09.003

Asian Journal of Urology, 2015, 2 (4): 238-243 doi: 10.1016/j.ajur.2015.09.003

Case Report

Laparoscopic ureterolysis with simultaneous ureteroscopy and percutaneous nephroscopy for treating complex ureteral obstruction after failed endoscopic intervention: A technical report

Zhixiang Wang^a, Bing Liu^a, Xiaofeng Gao^b, Yi Bao^a, Yang Wang^b, Huamao Ye^b, Yinghao Sun^b, Linhui Wang^a

a Department of Urology, Changzheng Hospital, Second Military Medical University, Shanghai, China;
b Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, China

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Abstract Objective: Complex ureteral obstruction is refractory to conventional urological intervention. This report describes a case of laparoscopic ureterolysis with simultaneous ureteroscopy and percutaneous nephroscopy for treating complex ureteral obstruction. Methods: Right-side multiple ureteral stones and complicating ureteral obstruction failed an initial attempt of ureteroscopy lithotripsy with simultaneous percutaneous nephroscopy in a 23-year-old male. Laparoscopic ureterolysis with ureteroscopy and percutaneous nephroscopy was used simultaneously to dissect the periureteral adhesions with the patient placed in the Galdakao-modified supine Valdivia position. The ureter was incised to allow the insertion of a ureteral catheter through the twisted ureter, and a guide wire was advanced into the pelvis using ureteroscopy. A double-J stent was placed into the right-side ureter using antegrade percutaneous nephroscopy. Results: The laparoendoscopic procedure lasted 330 min with an estimated bleeding volume of 100 mL. The patient underwent an uneventful postoperative course, and postoperative followup radiography confirmed good positioning of the double-J stent. The double-J stent was removed 3 months after operation. The patient remained asymptomatic within a 13-month follow-up period.

Key words： Ureteral obstruction Laparoscopic ureterolysis Ureteroscopy Percutaneous nephrostomy

Received: 28 April 2015 Published: 29 October 2015

Fund:This study was supported by grants from the Shanghai Municipal Hospitals' Project for Emerging and Frontier Technology (No. SHDC12010115), Chinese Military Major Project for Clinical High-tech and Innovative Technology (No. 2010gxjs057), and the Project for the Key Discipline of Shanghai (No. 2013046).

Corresponding Authors: Linhui Wang E-mail: wlhui@medmail.com.cn

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	Huamao Ye
	Yinghao Sun
	Linhui Wang

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Cite this article:

Zhixiang Wang,Bing Liu,Xiaofeng Gao, et al. Laparoscopic ureterolysis with simultaneous ureteroscopy and percutaneous nephroscopy for treating complex ureteral obstruction after failed endoscopic intervention: A technical report[J]. Asian Journal of Urology, 2015, 2(4): 238-243.

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http://www.ajurology.com/EN/10.1016/j.ajur.2015.09.003 OR http://www.ajurology.com/EN/Y2015/V2/I4/238

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