TY - JOUR T1 - Transumbilical laparoendoscopic single-site ureteral reimplantation JO - Actas Urológicas Españolas (English Edition) T2 - AU - Gimbernat,H. AU - Redondo,C. AU - García-Tello,A. AU - Mateo,E. AU - García-Mediero,J.M. AU - Angulo,J.C. SN - 21735786 M3 - 10.1016/j.acuroe.2015.02.008 DO - 10.1016/j.acuroe.2015.02.008 UR - https://www.elsevier.es/en-revista-actas-urologicas-espanolas-english-392-articulo-transumbilical-laparoendoscopic-single-site-ureteral-reimplantation-S2173578615000244 AB - ObjectiveTo analyze the outcomes of umbilical laparoendoscopic single-site (LESS) ureteral reimplantation using a reusable single-port platform. Materials and methodThe casuistic of LESS ureteral reimplantation in 5 patients is presented. The surgical technique using KeyPort system (reusable umbilical single-site platform) is described. Dissection, suctioning and suturing by minilaparoscopy through 3.5mm accessory port in the iliac fossa are performed. Operative and postoperative outcomes are presented. The median follow-up at time of analysis was 11±14 months. ResultsThe median age of patients was 49±34 years; male-female ratio was 1:1.15. Left surgery was carried out in all cases. In 4 patients, the etiology was secondary to stenosis (3 iatrogenic and 1 pelvic endometriosis). In the remaining case, the procedure was performed after excision of a symptomatic adult ureterocele. In all cases, bladder catheter and double-J ureteral catheter were inserted for 7±3 and 30±15days and then removed. No conversion to convectional laparoscopic or open surgery occurred. The surgery time was 145±60min, and intraoperative bleeding was 100±75cc. Neither transfusion nor high analgesia was necessary. No postoperative complications, minor or major, have been reported. Hospital stay was 2±0.5 days. In any patient, restenosis or worsening of renal function occurred. ConclusionsIn experimented centers, transumbilical laparoendoscopic single-site ureteroneocystostomy is a safe alternative with comparable results to conventional laparoscopy and an excellent cosmetic result at low cost thanks to device reuse. ER -