Category: Laparoscopy: Upper Tract - Benign

Introduction & Objective :

Retroperitoneal fibrosis is a rare disease that may involve various organs, mainly upper urinary tract. Its etiology and pathogenesis are unclear. The video shows a case of retroperitoneal fibrosis with ureteral  stenosis treated by laparoscopic ureterolysis and intraperitoneal transposition and omental wrapping.

Methods :

A 52 years old female reffered at our institution for abdominal and lumbar pain. CT scan showed right hydronephrosis and retroperitoneal fibrosis.  A transperitoneal laparoscopic ureterolysis with transposition of the ureter within peritoneal cavity was performed. The procedure was completed with ureteral wrapping with omentum to prevent a new entrapment.  

Results :

Mean operative and blood loss were 180 minutes and 40 ml, respectively. No postoperative complications occurred. Patients was discharged after 3 days.

Conclusions :

Retroperitoneal fibrosis is an uncommon and fearsome disease. Laparoscopic ureterolysis with omental wrapping, despite being complex, represents a valid and safe option with low morbidity and short hospital stay.

Presenting Author(s)

• RS

  Roberto Sanseverino

  – Director, Dept of Urology - Umberto I Hospital - Asl Salerno, Nocera Inferiore, Campania, Italy

Author(s)

• GM

  Giovanni Molisso

  – Dept of Urology - Umberto I Hospital - Asl Salerno, N, Campania, Italy
• OI

  Olivier Intilla

  – Dept of Urology - Umberto I Hospital - Asl Salerno, Nocera Inferiore, Campania, Italy
• TR

  Tommaso Realfonso

  – Dept of Urology - Umberto I Hospital - Asl Salerno, Nocera Inferiore, Campania, Italy
• GN

  Giorgio Napodano

  – Dept of Urology - Umberto I Hospital - Asl Salerno, Nocera Inferiore, Campania, Italy