Laparoscopic ileal ureteral substitution. Results of the first 40 operations


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Introduction. Despite the twenty-year history of laparoscopic ileal ureteral substitution, the literature is lacking studies reporting its outcomes, and those few are mainly case reports. Besides, they usually describe surgery from combined access, when the ileal segment resection and ileo-ileal anastomosis are performed from mini-laparotomy, and the remaining stages are done endoscopically. Aim. To conduct a multicenter retrospective analysis of our series of patients undergoing laparoscopic ileal ureteral substitution using only endoscopic access. Material and methods. From 2010 to 2017, 48 ureters were replaced completely laparoscopically in 40 patients. Ofthem, 33 patients underwent total ureteric replacement, and the others had a subtotal ileal ureteral substitution. Video describing the operation technique is available on https://youtu.be/IeA60pSiUBE. Results. The mean operating time was 335 minutes, and the estimated blood loss was 221 ml. Intraoperative complications (7.5%) were resolved during surgery. No patients required conversion to open surgery. There was no mortality. Postoperative Clavien III complications were observed in 7.5% of patients. The mean length of hospital day was 13.5 days. Functional results were followed from 6 months to 7 years. Conclusions. The presented material is the largest available in the literature, and the results, including long-term functional outcomes, demonstrate the efficacy and safety of laparoscopic technologies in the treatment of extensive strictures and obliterations of the ureter.

Full Text

Restricted Access

About the authors

A. D Kochkin

PRMU of Minzdrav of Russia; Clinical Hospital at Nizhny Novgorod Railway Station of JSC «RZD»

Email: kochman@bk.ru
Ph.D., Teaching Assistant at the E.V. Shakhov Department of Urology; Urologist at the Department of Urology

E. A Gallyamov

I.M. Sechenov First MSMU of Minzdrav of Russia (Sechenov University)

Email: gal_svetlana@mail.ru
Dr.Med.Sci., Head of the Department of General Surgery, Faculty of Medicine

S. V Popov

St. Luke’s Clinical Hospital; I.I. Mechnikov North-Western State Medical University

Email: doc.popov@gmail.com
Dr.Med.Sci Chief Physician of; Associate Prof. at the Department of Urology

R. G Biktimirov

IPPE of A.I. Burnazyan FMBC, FMBA of Russia; Federal Clinical Center for HMT

Email: rafbik@kb119.ru
Ph.D., Associate Professor at the Department of Urology and Andrology; Head of the Department of Urology

A. E Sanzharov

Federal Scientific and Clinical Center, FMBA of Russia

Email: sanzh@mail.ru
Head of the Department of Urology

V. P Sergeev

A.I. Burnazyan SRC FMBC, FMBA of Russia

Email: garivas@yandex.ru
Head of the Department of Urologic Oncology

F. A Sevryukov

PRMU of Minzdrav of Russia; Clinical Hospital at Nizhny Novgorod Railway Station of JSC «RZD»

Email: fedor_sevrukov@mail.ru
Dr.Med.Sci., Associate Prof., Prof. at the E.V. Shakhov Department of Urology; Head of the Department of Urology

I. N Orlov

St. Luke’s Clinical Hospital

Email: doc.orlov@gmail.com
Ph.D., Head of Department of Urology

A. B Novikov

Multidisciplinary Medical Center of the Bank of Russia

Email: novikov-ab@yandex.ru
Head of the Department of Urology

References

  1. Bonfig R., Gerharz E. W., Riedmiller H. Ileal ureteric replacement in complex reconstruction of the urinary tract. BJU Int. 2004;93(4):575-580. PubMed PMID: 15008733.
  2. Ghoneim M.A., Ali-El-Dein B. Replacing the ureter by an ileal tube, using the Yang-Monti procedure. BJU Int. 2005;95(3):455-70. Review. PubMed PMID: 15679821.
  3. Shoemaker J. Discussie op voordacht van J.M. Damm over intraabdominale plastiken. Ned. Tijdschr Geneesk. 1911. Р. 836.
  4. Goodwin W.E., Winter C.C., Turner R.D. Replacement of the ureter by small intestine: clinical application and results of the ileal ureter. J Urol. 1959;81(3):406-418. PubMed PMID: 13642478.
  5. Gill I.S., Savage S.J., Senagore A.J., Sung G.T. Laparoscopic ileal ureter. J Urol. 2000;163(4):1199-1202. PubMed PMID: 10737495.
  6. Wagner J.R., Schimpf M.O., Cohen J.L. Robot-assisted laparoscopic ileal ureter. JSLS. 2008;12(3):306-309. PubMed PMID: 18765059.
  7. Луцевич О.Э., Галлямов Э.А., Забродина Н.Б., Преснов К.С., Новиков А.Б., Коваленко А.В., Мещанкин И.В. Опыт лапароскопической илеоуретеропластики. Эндохирургия сегодня. 2013;4:26-32.
  8. Verduyckt F.J., Heesakkers J.P., Debruyne F.M. Long-term results of ileum interposition for ureteral obstruction. Eur Urol. 2002;42(2):181-187. PubMed PMID: 12160591.
  9. Chung B.I., Hamawy K.J., Zinman L.N., Libertino J.A. The use of bowel for ureteral replacement for complex ureteral reconstruction: long-term results. J Urol. 2006;175(1):179-183; discussion 183-184. PubMed PMID: 16406903.
  10. Kocot A., Kalogirou C., Vergho D., Riedmiller H. Long-term results of ileal ureteric replacement: a 25-year single-centre experience. BJU Int. 2017; 120(2):273-279. doi: 10.1111/bju. 13825. Epub 2017 Mar 21. PubMed PMID: 28220579.
  11. Комяков Б.К. Кишечная и аппендикулярная пластика мочеточников. М.: ГОЭТАР-Медиа. 2015. 415 с. ISBN 978-5-9704-3540-3.
  12. Komyakov B.K., Guliev B.G., Ochelenko V.A. Technical features of uretral intestinoplasty. Part 3: laparoscopic ileo- and appendiceal ureteroplasty. Urologiia. 2016;(4):4-9. Russian.
  13. Kamat N., Khandelwal P. Laparoscopy-assisted ileal ureter creation for multiple tuberculous strictures: report of two cases. J Endourol. 2006;20(6):388-393.
  14. Kamat N.N., Khandelwal P. Laparoscopy-assisted reconstruction of a long-segment ureteral stricture using reconfigured ileal segment: application of the Yang Monti principle. J Endourol. 2007;21(12):1455-1460. doi: 10.1089/end.2006.0150. PubMed PMID: 18186683.
  15. Castillo O.A., Sanchez-Salas R., Vitagliano G., Diaz M.A., Foneron A. Laparoscopy-assisted ureter interposition by ileum. J Endourol. 2008;22(4):687-692. doi: 10.1089/end.2007.0170. PubMed PMID: 18336074.
  16. Desai M.M. et al. Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for advanced reconstruction: initial experience. Urology. 2009;73:182-187. doi: 10.1016/j.urology.2008.04.061
  17. Stein R.J., Turna B., Patel N.S., Weight C.J., Nguyen M.M., Shah G., Aron M., Fergany A.F., Gill I.S., Desai M.M. Laparoscopic assisted ileal ureter: technique, outcomes and comparison to the open procedure. J Urol. 2009; 182(3):1032-1039. doi: 10.1016/j.juro.2009.05.013. Epub 2009 Jul 18. PubMed PMID: 19616806.
  18. Sim A., Todenhöfer T., Mischinger J., Halalsheh O., Boettge J., Rausch S., Aufderklamm S., Stenzl A., Gakis G., Schwentner C. Totally intracorporeal replacement of the ureter using whole-mount ileum. J Endourol. 2014;28(10):1165-1167. doi: 10.1089/end.2014.0169. Epub 2014 Jun 5. PubMed PMID: 24749827.
  19. Sim A., Todenhöfer T., Mischinger J., Halalsheh O., Boettge J., Rausch S., Bier S., Aufderklamm S., Stenzl A., Gakis G., Schwentner C. Intracorporeal ileal ureter replacement using laparoscopy and robotics. Cent European J Urol. 2014;67(4):420-423. doi: 10.5173/ceju.2014.04.art21. Epub 2014 Dec 5. PubMed PMID: 25667767; PubMed Central PMCID: PMC4310887.
  20. Lee B.R., Marcovich R., Chiu K. Y., Smith A.D. The laparoscopic Monti procedure for long strictures of the proximal ureter: a novel technique. BJU Int. 2004;93(4):631-633. PubMed PMID: 15008746.
  21. Ubrig B., Lazica D., Waldner M., Roth S. Laparoscopic ureteral reconstruction: intracorporal reconfiguration of ileum and colon in a porcine model. J Endourol. 2005;19(4):508-512. PubMed PMID: 15910267.
  22. Brandao L.F., Autorino R., Zargar H., Laydner H., Krishnan J., Samarasekera D., Haber G.P., Kaouk J.H., Chalikonda S., Stein R.J. Robotic ileal ureter: a completely intracorporeal technique. Urology. 2014;83(4):951-954. doi: 10.1016/j.urology.2013.11.035. Epub 2014 Feb 8. PubMed PMID: 24518286.
  23. Chopra S., Metcalfe C., Satkunasivam R., Nagaraj S., Becker C., de Castro Abreu A.L., Azhar R.A., Gill I., Desai M., Aron M., Berger A. Initial Series of Four-Arm Robotic Completely Intracorporeal Ileal Ureter. J Endourol. 2016;30(4):395-399. doi: 10.1089/end.2015.0674. Epub 2016 Feb 9. PubMed PMID: 26859439.
  24. Ubrig B., Janusonis J., Paulics L., Boy A., Heiland M., Roosen A. Functional Outcome ofCompletely Intracorporeal Robotic Ileal Ureteric Replacement. Urology. 2018;114:193-197. doi: 10.1016/j.urology.2017.11.019. Epub 2017 Nov 26. PubMed PMID: 29180072.
  25. Abhyankar N., Vendryes C., Deane L.A. Totally intracorporeal robot-assisted laparoscopic reverse seven ileal ureteric reconstruction. Can J Urol. 2015;22(2):7748-7751. PubMed PMID: 25891341.
  26. Baumgarten A.S., Shah B.B., Patel T.B., Wiegand L.R. Robotic Ileal Interposition for Radiation-induced Ureteral Stricture Disease. Urology. 2017. pii: S0090-4295(17)30177-2. doi: 10.1016/j.urology.2017.02.033. [Epub ahead of print] PubMed PMID: 28259810.
  27. Leclers F., Dutheil V., Poupot D., Moalic R., Gosseine P.-N., Cormier L., Bierman D. La prostatectomie radicale robotique ambulatoire. Une chirurgie de l’avenir? À propos d’un cas. Half-day case robotic radical prostatectomy. Surgery of the future? A case report. Progrès en Urologie. 2016;26(1):10-13, doi.org/10.1016/j.purol. 2015.10.004.
  28. Zhong W., Du Y., Yang K., Meng S., Lin R., Li X., Zhuang L., Cai L., Cui H., He Z., Zhou L. Ileal Ureter Replacement Combined With Boari Flap-Psoas Hitch to Treat Full-Length Ureteral Defects: Technique and Initial Experience. Urology. 2017; 108:201-206. Doi: 10.1016/j. urology.2017.07.014. Epub 2017 Jul 21. PubMed PMID: 28739403.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2018 Bionika Media