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  • Title: Laparoscopic ureteroneocystostomy.
    Author: Andou M, Yoshioka T, Ikuma K.
    Journal: Obstet Gynecol; 2003 Nov; 102(5 Pt 2):1183-5. PubMed ID: 14607050.
    Abstract:
    BACKGROUND: 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. CASE: 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. CONCLUSION: Laparoscopic ureteral reimplantation is technically possible and is a viable alternative to open surgery.
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