"Laparoscopic pyeloplasty for treating ureteropelvic junction obstruction in a patient with Fontan physiology: The first case described in literature"

Theodoros Spinos; Nikolaos Grivas; Ioannis Katafigiotis; Ioannis Leotsakos; Dimitrios Ermidis; Markos Karavitakis

doi:10.1016/j.eucr.2023.102345

"Laparoscopic pyeloplasty for treating ureteropelvic junction obstruction in a patient with Fontan physiology: The first case described in literature"

Urol Case Rep. 2023 Feb 1:47:102345. doi: 10.1016/j.eucr.2023.102345. eCollection 2023 Mar.

Authors

Theodoros Spinos¹, Nikolaos Grivas², Ioannis Katafigiotis², Ioannis Leotsakos², Dimitrios Ermidis², Markos Karavitakis²

Affiliations

¹ National and Kapodistrian University of Athens, Athens, Greece.
² Department of Laparoscopy and Endourology, Central Urology, Lefkos Stavros the Athens Clinic, Athens, Greece.

Abstract

The Fontan procedure is a palliative operation for patients with single ventricle congenital heart disease. In this case-report, we present the case of a 36-years-old man, with Fontan physiology and ureteropelvic junction obstruction, undergoing laparoscopic pyeloplasty. He presented with right flank pain and mild hydronephrosis of his right kidney. Although few laparoscopic operations have been described in the literature, this, to our knowledge, is the first laparoscopic urological procedure described in a patient with Fontan physiology. Laparoscopic pyeloplasty in patients with Fontan physiology, is an efficient and safe technique when performed in centers with extensive experience in laparoscopic procedures.

Keywords: Fontan physiology; Laparoscopic; Pyeloplasty; Surgical technique; Ureteropelvic junction obstruction.

Publication types

Case Reports