Laparoscopic Dismembered Repair in Two Patients with Retrocaval Ureter

Abstract

Retrocaval ureter (RCU) or circumcaval ureter is a rare cause of congenital hydronephrosis. The surgical correction of RCU should be performed in all patients with obstruction and hydronephrosis symptoms, lumbar pain, urinary tract infections, hematuria, or urolithiasis. Traditionally, an open surgical approach was used for the treatment of RCU. Nowadays, surgical correction of these anomalies is performed using minimally invasive techniques. We report on two cases treated with our standardized laparoscopic technique using only three 5-mm trocars. The proposed approach could be considered as the first-line treatment for RCU.

Keywords

retrocaval ureter - ureteroureterostomy - laparoscopy

• References

• 1 Simforoosh N, Nouri-Mahdavi K, Tabibi A. Laparoscopic pyelopyelostomy for retrocaval ureter without excision of the retrocaval segment: first report of 6 cases. J Urol 2006; 175 (06) 2166-2169 , discussion 2169
• 2 Soundappan SVS, Barker AP. Retrocaval ureter in children: a report of two cases. Pediatr Surg Int 2004; 20 (02) 158-160
• 3 Ishitoya S, Arai Y, Waki K, Okubo K, Suzuki Y. Left retrocaval ureter associated with the Goldenhar syndrome (branchial arch syndrome). J Urol 1997; 158 (02) 572-573
• 4 Hensle TW, Shabsigh A. Pyeloplasty (Anderson-Hynes). BJU Int 2004; 93 (07) 1123-1134
• 5 Sun J-S, Zhang G, Lin T. Retrocaval ureter in children: a report of eight cases. West Indian Med J 2015; 64 (04) 397-399
• 6 Acharya SK, Jindal B, Yadav DK, Singha S, Bagga D. Retrocaval ureter: a rare cause of hydronephrosis in children. J Pediatr Surg 2009; 44 (04) 846-848
• 7 Dogan HS, Oktay B, Vuruskan H, Yavascaoglu I. Treatment of retrocaval ureter by pure laparoscopic pyelopyelostomy: experience on 4 patients. Urology 2010; 75 (06) 1343-1347
• 8 Li H-Z, Ma X, Qi L, Shi T-P, Wang B-J, Zhang X. Retroperitoneal laparoscopic ureteroureterostomy for retrocaval ureter: report of 10 cases and literature review. Urology 2010; 76 (04) 873-876
• 9 Liu E, Sun X, Guo H. , et al. Retroperitoneoscopic ureteroplasty for retrocaval ureter: report of nine cases and literature review. Scand J Urol 2016; 50 (04) 319-322
• 10 Baba S, Oya M, Miyahara M, Deguchi N, Tazaki H. Laparoscopic surgical correction of circumcaval ureter. Urology 1994; 44 (01) 122-126
• 11 Ramalingam M, Selvarajan K. Laparoscopic transperitoneal repair of retrocaval ureter: report of two cases. J Endourol 2003; 17 (02) 85-87
• 12 Tamhankar AS, Savalia AJ, Sawant AS, Pawar PW, Kasat GV, Patil SR. Transperitoneal laparoscopic repair of retrocaval ureter: our experience and review of literature. Urol Ann 2017; 9 (04) 324-329
• 13 El Harrech Y, Ghoundale O, Kasmaoui EH, Touiti D. Transperitoneal laparoscopic pyelopyelostomy for retrocaval ureter without excision of the retrocaval segment: experience on three cases. Adv Urol 2016; 2016: 5709134
• 14 Ding GQ, Xu LW, Li XD. , et al. Pure transperitoneal laparoscopic correction of retrocaval ureter. Chin Med J (Engl) 2012; 125 (13) 2382-2385
• 15 Seo IY, Oh TH, Jeon SH. Transperitoneal laparoscopic ureteroureterostomy with excision of the compressed ureter for retrocaval ureter and review of literature. Investig Clin Urol 2019; 60 (02) 108-113