Category: Laparoscopy: Upper Tract - Benign

VS12-8 - Laparoscopic ureterolysis and omental wrapping in idiopathic retroperitoneal fibrosis

Sat, Sep 22
2:00 PM - 4:00 PM

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.

Roberto Sanseverino

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

Giovanni Molisso

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

Olivier Intilla

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

Tommaso Realfonso

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

Giorgio Napodano

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