[Laparoscopic antevasal uretero-ureteral anastomosis for treating retrocaval ureter].

The article presents a case of laparoscopic antevasal correction of the retrocaval ureter in a 16 year old patient, who was admitted to the hospital with complaints of aching pain in the right lower back. His history was noteworthy of early age onset of intermittent fever accompanied by abdominal and lumbar pain. Blood count and urinalysis were within normal limits, and he was treated symptomatically. However, no renal ultrasound scan was done. Intravenous urography and MSCT showed a retrocaval ureter. The diagnosis was confirmed by retrograde ureteropyelography. With the patient placed in the lateral position, the right ureter was mobilized by transperitoneal access, transected and mobilized from under the inferior vena cava. Anterior uretero-ureteral anastomosis on the stent was performed, drainage was established. The operating time was 90 minutes, blood loss was 60 ml. There were no postoperative complications. Drainage was removed 2 days after surgery and the patient was discharged for outpatient treatment. The stent was removed 6 weeks postoperatively. Control urography showed normal function of both kidneys, no urodynamic abnormality of the upper urinary tract was identified.

[Percutaneous surgery of diseases of the kidneys and urinary tracts].

Percutaneous interventions for diseases of the kidneys and upper urinary tracts (UUT) were fulfilled in 1254 patients. In renal cysts puncture, evacuation of the content and sclerotherapy were fulfilled. Repeated punctures of the cyst were fulfilled in 20, laparoscopic excision of it was fulfilled in 16 patients. In 499 patients with cholelithiasis 427 percutaneous nephrolitholapaxy and 87 extractions of the stone without its fragmentation were fulfilled. Percutaneous treatment of cholelithiasis by monotherapy was effective in 89.8% of the patients, in 10% of the patients distant lithotripsy was performed for residual stones. Good results of endoscopic correction of UUT strictures were obtained in 85.9% of the patients, unsatisfactory results--in 14.1%. Percutaneous interventions for foreign bodies in UUT and tumors of the pelvis were successful in all observations.