Ureteral Triplication- Laparoscopic Partial Nephrectomy with Highly Selective Arterial Dissection: Description of Surgical Technique

Ureteral triplication is a rare congenital malformation with a wide spectrum of presentation that requires a high index of suspicion in order to diagnose. To date, only about 100 cases have been published in medical literature. Smith et al.1 proposed a classification for ureteral triplication that describes it as three separate ureters and three separate ureteral orifices with no interconnection between ureters. In this video, we present a surgical approach for laparoscopic partial nephrectomy of both upper moieties in the context of ureteral triplication.
Source: Urology - Category: Urology & Nephrology Authors: Tags: “Show Me How” Video Source Type: research

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ABSTRACT Robotic surgery has been slow to be fully accepted in the world of pediatric urology largely because of its initial application directed towards adult use and because of the inherent high cost associated with it. However, as previously shown, it has now become the gold standard for adolescent pyeloplasty in The United States. As the adoption of robotic surgery in children has become more widespread, its use has been applied to a broader spectrum of procedures with similar success rates to standard laparoscopy. These procedures include nephrectomy, heminephrectomy, ureteral reimplantation, and ureteroureterostomy. ...
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
Authors: Zăhoi DE, Sztika D, Stoican L, Dăescu E Abstract Renal blood vessels present great morphological variability. The routine dissection of a 68-year-old male cadaver revealed multiple bilateral vascular variations associated with the incomplete rotation of both kidneys. The left kidney was supplied by three renal arteries: one superior artery and one middle artery with hilum penetration, and one inferior artery with inferior polar penetration. All three arteries arose from the aorta: two from the anterior side at levels L1 and L3, and one - the inferior artery - from the posterior side of the aorta, as a co...
Source: Romanian Journal of Morphology and Embryology - Category: General Medicine Tags: Rom J Morphol Embryol Source Type: research
ConclusionsLaparoscopy is a recommended option to treat CFRE, offering all advantages of this approach.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Conclusion: Our design of retrieval system offers a cost-effective option which is easy to make, without the risk of tumor seeding and without the need for separate access sheath. It's a retrieval system which has proved its efficacy in laparoscopic as well as robotic procedures with no bearing on the expertise of the surgeon involved.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
ConclusionWe need to perform operations with sufficient anatomical knowledge of retroperitoneal fascia and careful surgical techniques. The critical thing to prevent an internal hernia following RLN is to close the mesenteric defects intraoperatively. It is also important to suspect an internal hernia and do proper examinations promptly when patients had the symptoms of SBO after nephrectomy.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
We present a case of extranodal RDD of the kidney. Imaging revealed a nodular lesion in the right renal pelvis, with accompanying pelvic dilation and parenchymal atrophy, reminiscent of immunoglobulin G4 (IgG4)-related disease. With the clinical diagnosis of suspected renal pelvic cancer, laparoscopic right nephrectomy was performed. Macroscopic findings showed a mass with a white-tan cut surface. Histological examination revealed histiocytes with emperipolesis and patchy infiltration of plasma cells, lymphocytes and foamy macrophages in a fibrocollagenous stroma. Immunohistochemically, the histiocytes were positive for S1...
Source: Human Pathology: Case Reports - Category: Pathology Source Type: research
CONCLUSIONS: Retroperitoneoscopic approach in urological diseases is a valid alternative to the anterior approach. Evidence suggest lower morbidity for the retroperitoneoscopic approach however technical complexity may limit its widespread. PMID: 30607927 [PubMed - as supplied by publisher]
Source: Minerva Urologica e Nefrologica - Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research
CONCLUSIONS Our study showed that laparoscopic-combined para-orthotopic pancreas and orthotopic kidney transplantation in pigs is surgically possible. PMID: 30587843 [PubMed - in process]
Source: Annals of Transplantation - Category: Transplant Surgery Authors: Tags: Ann Transplant Source Type: research
In this report, we describe another application of HIdES to perform multi quadrant robotic uretero-ureterostomy and distal ureterectomy using only three hidden incisions.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Pediatric Urology Source Type: research
The purpose of this video is to present a novel application of robotic surgery by removing a ureteral remnant of a vaginally inserting left ectopic ureter following a prior upper pole hemi-nephrectomy had been performed for a non-functioning and obstructed system.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Reconstruction - Upper Urinary Tract Source Type: research
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