Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?

Detalhes bibliográficos
Autor(a) principal: Mota, Paulo
Data de Publicação: 2016
Outros Autores: Carvalho, Nuno, Dias, Emanuel Carvalho, Cordeiro, Agostinho, Torres, João Nuno Braga Pimentel, Morais, Nuno, Lima, Estêvão Augusto Rodrigues de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/1822/49893
Resumo: Video available at: http://online.liebertpub.com/doi/full/10.1089/vid.2016.0050
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spelling Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?Ciências Médicas::Medicina ClínicaVideo available at: http://online.liebertpub.com/doi/full/10.1089/vid.2016.0050Introduction: Radical cystectomy is the gold-standard treatment for urothelial and muscle invasive bladder cancer. Morbidity is high for this procedure, and ureteral stenosis with consequent renal damage is a possible complication for all types of urinary diversions. The endoscopic approach is a therapeutic option although it is not very effective. Open surgery is more effective, but is associated with significant morbidity. Laparoscopic approach has not been widely used because of its relative contraindication in patients with previous abdominal surgery, and because of its technical challenge. Purpose: To display the surgical technique, step by step, of the laparoscopic ureteroureterostomy in orthotopic neobladder. Materials and Methods: We present two cases of laparoscopic treatment of ureteral stenosis in patients who previously underwent laparoscopic radical cystectomy with orthotopic neobladder. Both patients developed right ureterohydronephrosis during the first year after the surgery. Endoscopic dilatation was attempted in both cases, but without success. Results: Laparoscopic treatment of the ureteral stenosis was possible in both patients. Surgical time was 180 minutes in the first case and 200 minutes in the second one. Hospitalization time was 6 days in both cases and nephrostomies were removed after 1 week in both patients. There were no complications recorded during and after the procedures. During second month after surgery evaluation, patients were asymptomatic and had no evidence of hydronephrosis. Conclusion: Laparoscopic approach should be considered as an effective technique for treatment of ureteral stenosis in patients with urinary diversions, and should be taken as a good option regarding this clinical problem.info:eu-repo/semantics/publishedVersionMary Ann LiebertUniversidade do MinhoMota, PauloCarvalho, NunoDias, Emanuel CarvalhoCordeiro, AgostinhoTorres, João Nuno Braga PimentelMorais, NunoLima, Estêvão Augusto Rodrigues de2016-12-282016-12-28T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/49893engMota P, Carvalho N, Carvalho-Dias E, Cordeiro A, Torres J, Morais N, Lima E. Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?. . March 2017, 31. https://doi.org/10.1089/vid.2016.00500892-77901557-900X10.1089/vid.2016.0050http://online.liebertpub.com/doi/abs/10.1089/vid.2016.0050?journalCode=vidinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:40:41Zoai:repositorium.sdum.uminho.pt:1822/49893Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:37:31.832492Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?
title Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?
spellingShingle Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?
Mota, Paulo
Ciências Médicas::Medicina Clínica
title_short Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?
title_full Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?
title_fullStr Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?
title_full_unstemmed Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?
title_sort Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?
author Mota, Paulo
author_facet Mota, Paulo
Carvalho, Nuno
Dias, Emanuel Carvalho
Cordeiro, Agostinho
Torres, João Nuno Braga Pimentel
Morais, Nuno
Lima, Estêvão Augusto Rodrigues de
author_role author
author2 Carvalho, Nuno
Dias, Emanuel Carvalho
Cordeiro, Agostinho
Torres, João Nuno Braga Pimentel
Morais, Nuno
Lima, Estêvão Augusto Rodrigues de
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Mota, Paulo
Carvalho, Nuno
Dias, Emanuel Carvalho
Cordeiro, Agostinho
Torres, João Nuno Braga Pimentel
Morais, Nuno
Lima, Estêvão Augusto Rodrigues de
dc.subject.por.fl_str_mv Ciências Médicas::Medicina Clínica
topic Ciências Médicas::Medicina Clínica
description Video available at: http://online.liebertpub.com/doi/full/10.1089/vid.2016.0050
publishDate 2016
dc.date.none.fl_str_mv 2016-12-28
2016-12-28T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/49893
url http://hdl.handle.net/1822/49893
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Mota P, Carvalho N, Carvalho-Dias E, Cordeiro A, Torres J, Morais N, Lima E. Surgical Treatment of Ureteral Stenosis in Urinary Diversions: Is Laparoscopy an Option?. . March 2017, 31. https://doi.org/10.1089/vid.2016.0050
0892-7790
1557-900X
10.1089/vid.2016.0050
http://online.liebertpub.com/doi/abs/10.1089/vid.2016.0050?journalCode=vid
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Mary Ann Liebert
publisher.none.fl_str_mv Mary Ann Liebert
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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