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11–14 APRIL, 2018, HELSINKI, FINLAND
10:39–10:44
S15-5 (VP)
2 CASES OF LAPAROSCOPIC
TRANSURETEROURETEROSTOMY IN CHILDREN
Yong Seung LEE
1
, Sang Woon KIM
1
, Sung Ku KANG
1
, Sung Hoon KIM
2
and Sang
Won HAN
1
1) Yonsei University College of Medicine, Department of Urology, Seoul, REPUBLIC OF KOREA - 2) Severance
Children's Hospital, Department of Pediatric Urology, Seoul, REPUBLIC OF KOREA
PURPOSE
Trans-uretero-ureterostomy (TUU) has been known to be a safe and reliable procedure in patients
with complex ureteral problems. However, it was rarely reported with minimal invasive surgery in
children. We report the feasibility and short term results of laparoscopic TUU in children.
MATERIAL AND METHODS
Transperitoneal laparoscopic TUU was performed in 2 children. Twelve-year-old male patient had
an iatrogenic complete ureter obstruction with rupture developed one month after laparoscopic
appendectomy. The other 5-year-old male patient had a history of Duhamel operation for congenital
megacolon and left distal ureter obstruction developed thereafter. Ureter catheter was inserted in
the beginning of each case into the recipient ureter. After ureter isolation, Sub-peritoneal tunnel
was made from donor side to the recipient side. Then, donor ureter was passed to the recipient
ureter. The anastomosis was performed with interrupted 6–0 sutures. Ureteral stent was placed for
6 weeks after operation.
RESULTS
All Two cases were successfully performed. Total operation time was 4 and 5.5 hours, respectively.
Postoperative course was unremarkable without urinary tract infection, flank pain, or hydronephro-
sis during follow up period.
CONCLUSIONS
laparoscopic TUU is feasible in children with better cosmesis. It could be applied in selected cases
with complex ureteral problems.
10:44–10:50
Discussion