Abstract：Objective:To evaluate the clinical application value of laparoscopic ureterolysis in the treatment of retroperitoneal fibrosis. Methods:The perioperative data of 10 patients with retroperitoneal fibrosis treated by laparoscopic ureterolysis in our department from Jan 2009 to Jan 2012 were reviewed. The double J stent was indwelled into the ipsilateral ureter before operation. The patient was placed to 30 to 60 degree slope contralateral decubitus, After opening the peritoneum along the Toldt line, the colon was pushed midline to expose the retroperitoneal, and identified the normal part of ureter which was not surrounded by fibrous tissue. The ureter was then dissected and moved intraperitoneally. Results:10 patients (9 males and 1 female) with BMI ranged from 19.79-25.69 kg/m2 were successfully operated. The average operative time was 185 min, average blood loss was 59.5 ml and average postoperative intestinal function recovery time was 2.7 d. No transfusion was required and no serious complication was occurred in all the patients. Conclusions:Laparoscopic ureterolysis had the advantages of less invasive, rapid recovery, better effect and fewer complications. It is therefore a safe and effective surgical procedure in treating retroperitoneal fibrosis.
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