235 372

Cited 5 times in

Laparoendoscopic Management of Midureteral Strictures

Authors
 Christos Komninos  ;  Kyo Chul Koo  ;  Koon Ho Rha 
Citation
 KOREAN JOURNAL OF UROLOGY, Vol.55(1) : 2-8, 2014 
Journal Title
 KOREAN JOURNAL OF UROLOGY 
ISSN
 2005-6737 
Issue Date
2014
Keywords
Laparoscopy ; Reconstructive surgical procedures ; Robotics ; Ureter
Abstract
The incidence of ureteral strictures has increased worldwide owing to the widespread use of laparoscopic and endourologic procedures. Midureteral strictures can be managed by either an endoscopic approach or surgical reconstruction, including open or minimally invasive (laparoscopic/robotic) techniques. Minimally invasive surgical ureteral reconstruction is gaining in popularity in the management of midureteral strictures. However, only a few studies have been published so far regarding the safety and efficacy of laparoscopic and robotic ureteral reconstruction procedures. Nevertheless, most of the studies have reported at least equivalent outcomes with the open approach. In general, strictures more than 2 cm, injury strictures, and strictures associated either with radiation or with reduced renal function of less than 25% may be managed more appropriately by minimally invasive surgical reconstruction, although the evidence to establish these recommendations is not yet adequate. Defects of 2 to 3 cm in length may be treated with laparoscopic or robot-assisted uretero-ureterostomy, whereas defects of 12 to 15 cm may be managed either via ureteral reimplantation with a Boari flap or via transuretero-ureterostomy in case of low bladder capacity. Cases with more extended defects can be reconstructed with the incorporation of the ileum in ureteral repair.
Files in This Item:
T201400849.pdf Download
DOI
10.4111/kju.2014.55.1.2
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Koo, Kyo Chul(구교철) ORCID logo https://orcid.org/0000-0001-7303-6256
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Komninos, Christos(크리스토스콤니노스)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98418
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links