Laparoscopic Intracorporeal Ileal Ureter



Fig. 24.1
Picture showing port placement for laparoscopic right ileal ureter: 10 mm port above umbilicus for camera; 12 mm port ×2 5 cm above and below the umbilicus, 5 mm port 1 cm below the xiphoid for liver retraction and additional 12 mm port in right iliac fossa for Endo-GIA stapler



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Fig. 24.2
(a) Ureter identification and removal of Double J stent; (b) renal pelvis mobilization and suspension; (c) Bowel transection using Endo_GIA stapler; (d) transected bowel temporarily fixed to renal pelvis; (e) end-to-end anastomosis after distal transection; (f) pyeloileal anasotomosis; (g) ileovesical anastomosis; (h) completed isoperistaltic ileal ureter


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Fig. 24.3
Right colon reflected


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Fig. 24.4
Ureter traced proximally and pelvis dissected


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Fig. 24.5
Stay suture taken in pelvis


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Fig. 24.6
Bowel isolation using stapler


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Fig. 24.7
Proximal end of bowel divided


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Fig. 24.8
Proximal end of segment fixed with stay

Oct 14, 2017 | Posted by in UROLOGY | Comments Off on Laparoscopic Intracorporeal Ileal Ureter

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