PMC4818314_01
Retrograde pyelography showed right ureteral stricture.
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Although endoscopic ureterostomy was performed twice, there was no improvement in the stricture (Fig. 1).
Position of trocars during surgery: (scope) A 10-mm camera trocar above the anterior superior iliac spine on the mid-axillary line; (A) A 5-mm trocar the 12th rib on the posterior axillary line; (B) A 5-mm trocar the 12th rib on the anterior axillary line; (C) A 5-mm trocar on the anterior axillary line above the iliac crest.
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A 10-mm balloon trocar for a camera port was then inserted into this space, and three 5-mm trocars were placed around a camera (Fig. 2).
Intraoperative ureteroscopic intraluminous view of the ureteral stricture.
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After the single pig-tail catheter was removed, a guide wire was inserted and a flexible fiberoptic ureteroscope (URF-P6; Olympus Corporation, Tokyo, Japan) was advanced into the ureteral stricture (Fig. 3).
Retroperitoneal laparoscopic view of the right ureter. Appearance of the ureteral stricture by the light source of a flexible ureteroscope.
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When the light source of the laparoscope was dimmed, the tip of the ureteroscope became visible (Fig. 4a,b).
After the affected portion of the ureter was resected, laparoscopic UU was performed using a running suture.
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The affected portion of the ureter was resected by a length of 5 mm via laparoscopy and reanastomosis was performed using a running suture (Fig. 5).