Laparoscopic ureteroneocystostomy.

Abstract

In gynecologic surgery, there is always the possibility that ureteral injuries will occur intraoperatively. Traditionally, ureteral injuries are treated by laparotomy, which increases morbidity. This inspired us to develop a laparoscopic alternative to deal with accidental intraoperative ureteral injuries. A 49-year-old woman with stage Ia1 cervical cancer found after conization was to undergo a laparoscopic Piver class 2 hysterectomy. Because the ureters could not be effectively mobilized as a result of pelvic fibrosis, the left ureter was accidentally transected. The patient underwent a laparoscopic extravesical ureteroneocystostomy. Laparoscopic ureteral reimplantation is technically possible and is a viable alternative to open surgery.