Retroperitoneal fibrosis is a rare disorder characterised by an inflammation of the perivascular tissues of the infrarenal abdominal aorta. One or both ureters are frequently involved in the inflammatory process and lead to (acute) renal failure or kidney function disorders. The disease has a tendency to recur despite treatment with high doses of glucocorticoids. When recurrence or progression of disease is present despite treatment with prednisone, surgical peritonealisation of one or both ureters is often advised. In this manuscript, we report on two cases in which 2 patients with idiopathic retroperitoneal fibrosis underwent a robot assisted laparoscopic ureterolysis with omental wrap in a total of three renal units. Minimally invasive surgery and robot assisted laparoscopic urology in particular is a safe and efficient option in patients with recurrent idiopathic retroperitoneal fibrosis and ureteral involvement. They may be withheld a surgical procedure with potentially high morbidity.
|Translated title of the contribution||Robot assisted laparoscopic ureterolysis with omental wrap in idiopathic retroperitoneal fibrosis|
|Number of pages||5|
|Journal||Tijdschrift voor Urologie|
|Publication status||Published - Dec 2011|