Light‐guided renal cyst fenestration during laparoscopic ureterocalicostomy in a patient with left ureteropelvic junction obstruction

IJU Case Reports

Akio Hoshi¹  Hiroyuki Nishiyama¹  Yukiko Nishijima²  Kazumitsu Yamasaki²  Masahiro Uchida² 

[1] Department of Urology Faculty of Medicine University of Tsukuba Tsukuba Japan;Department of Urology Tsukuba Gakuen Hospital Tsukuba Japan;

关键词: laparoscopic pyeloplasty;    laparoscopic ureterocalicostomy;    light‐guided laparoscopic renal cyst fenestration;    renal cyst;    ureteropelvic junction obstruction;   

DOI  :  10.1002/iju5.12129

来源: DOAJ

【 摘 要 】

Introduction Laparoscopic ureterocalicostomy is a useful alternative to laparoscopic pyeloplasty for treating ureteropelvic junction obstruction under certain conditions. One concern regarding this technique is the inevitability of amputation of the renal lower pole to expose the lower renal calyx. Case presentation A 43‐year‐old man who presented ureteropelvic junction obstruction and multiple renal cysts underwent laparoscopic pyeloplasty, which could not be performed because of the intrarenal ureteropelvic junction. We switched the surgical technique to modified laparoscopic ureterocalicostomy, wherein amputation of the lower renal pole was substituted with fenestration of a renal cyst under the guidance of ureteroscopic light. Computed tomography performed 2 months postoperatively showed good patency of the anastomosis. Conclusion Light‐guided laparoscopic renal cyst fenestration followed by ureterocalicostomy is feasible in patients with ureteropelvic junction obstruction and lower pole renal cysts adjacent to the lower renal calyx.

【 授权许可】

Unknown