Summary

The laparoscopic approach to the ureter is not only feasible but has been shown to provide significant advantages over traditional open surgery in terms of lower postoperative analgesic requirements, shorter convalescence and improved cosmesis.

Although the acceptance of laparoscopic ureteral surgery trails that of ablative surgeries such as radical nephrectomy and nephroureterectomy, the minimally invasive approach to the ureter will likely become a powerful tool in the urologist's surgical armamentarium. Different laparoscopic approaches to the retrocaval ureter, idiopathic retroperitoneal fibrosis, transureteroureterostomy, cutaneous ureterostomy, and ureteroneocystostomy have been used successfully.

Greater clinical experience is expected to be available with increasingly wider acceptance and application of laparoscopy in urology.

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