Page 41 - World Journal of Laparoscopic Surgery

Laparoscopic Ureterolysis without Omentoplasty

Fig. 1: Disposition of laparoscopic ports in laparoscopic ureterolysis: the Figs 2A to E: (A) Ectasia of the renal pelvis; (B) Ureter compromised by
initial port of 10 mm is placed pararectal at the level of the umbilicus retroperitoneal fibrosis; (C) Retroperitoneal fibrosis; (D) Muscle psoas;
(laparoscopy). The second port of 10 mm is placed in the iliac fossa. The (E) Kidney
other two remaining 5 mm ports are placed in the hemiclavicular line
and the anterior axillary line in the upper abdominal quadrant

Figs 3A to D: (A) Riding the external iliac artery (EIA), the encased ureter was identified; (B and C) Ureter was release from the fibrotic mass using a
blunt instrument; (D) Pericolonic fat was interposed between the ureter and the fibrosis. Ao, aorta; Co, colon; EIA, external iliac artery; FM, fibrotic
mass; P, psoas muscle; U, ureter

World Journal of Laparoscopic Surgery, Volume 12 Issue 3 (September–December 2019) 127