Ureteral Closure Using Advanced Bipolar Vessel Sealing Devices During Laparoscopic Nephrectomy in Dogs and Cats: A Pilot Series of Clinical Cases

Overview

Journal Life (Basel)

Specialty Biology

Date 2025 Jan 8

PMID 39768388

Authors

Przemyslaw Przadka

Bartlomiej Liszka

Kamil Suliga

Agnieszka Antonczyk

Zdzislaw Kielbowicz

Dominika Kubiak-Nowak

Stanislaw Dzimira

Adam Skalski

Ludwika Gasior

Affiliations

Soon will be listed here.

Abstract

Recently, laparoscopic nephrectomy has become more popular in veterinary medicine. In the majority of these procedures, vascular sealing devices (VSDs) are used. These allow for the closure of renal vessels with advanced bipolar coagulation. However, until now, closure of the ureter was performed with mechanical clips or suturing. There is a lack of information in the literature about the possibility of VSDs being used for ureter closure. This article presents the possibility of renal vessels and ureter closure in cats and dogs with vascular sealing devices. Laparoscopic nephrectomy in dogs and cats was performed entirely with VSDs. Patients with unilateral hydronephrosis qualified for the procedure. The nephrectomies were completely performed using a laparoscopic approach. Both renal vasculature and ureter were closed with VSDs. Additionally, two resected ureters from operated cats underwent histopathological evaluation. Among the operated animals, there were no postoperative complications or signs in the urinary tract. Histopathological evaluation of two cats' ureters showed lumen closure on the coagulation places. Vascular sealing devices, during laparoscopic nephrectomy, allow for closure of not only the renal vessels but also ureters.

References

Hart E, Singh A, Thomson C, Appleby R, Richardson D, Hocker S . Outcomes after transperitoneal laparoscopic ureteronephrectomy for the treatment of primary renal neoplasia in seven dogs. Vet Surg. 2021; 50 Suppl 1:O108-O115. DOI: 10.1111/vsu.13675. View

Arora S, Yadav P, Ansari M . Diagnosis and management of symptomatic residual ureteral stump after nephrectomy. BMJ Case Rep. 2015; 2015. PMC: 4342703. DOI: 10.1136/bcr-2015-209441. View

Rosenfeld J, Boehm D, Raikar A, Coskey D, Lee M, Ji E . A review of complications after ureteral reconstruction. Asian J Urol. 2024; 11(3):348-356. PMC: 11318449. DOI: 10.1016/j.ajur.2024.02.007. View

Yoder B, Wolf Jr J . Canine model of surgical stress response comparing standard laparoscopic, microlaparoscopic, and hand-assisted laparoscopic nephrectomy. Urology. 2005; 65(3):600-3. DOI: 10.1016/j.urology.2004.10.021. View

Barroso Jr U, Calado A, Zerati Filho M . The role of refluxing distal ureteral stumps after nephrectomy. J Pediatr Surg. 2002; 37(4):653-6. DOI: 10.1053/jpsu.2002.31632. View

Krarup T, Wolf H . Refluxing ureteral stump. Scand J Urol Nephrol. 1978; 12(2):181-3. DOI: 10.3109/00365597809179989. View

Cormio L, Massenio P, Lucarelli G, Di Fino G, Selvaggio O, Micali S . Hem-o-lok clip: a neglected cause of severe bladder neck contracture and consequent urinary incontinence after robot-assisted laparoscopic radical prostatectomy. BMC Urol. 2014; 14:21. PMC: 3938024. DOI: 10.1186/1471-2490-14-21. View

Park K, Sim Y, Jung H . Migration of a Hem-o-Lok Clip to the Ureter Following Laparoscopic Partial Nephrectomy Presenting With Lower Urinary Tract Symptoms. Int Neurourol J. 2013; 17(2):90-2. PMC: 3713248. DOI: 10.5213/inj.2013.17.2.90. View

Apostolopoulou E, Vlemmas I, Pardali D, Adamama-Moraitou K, Poutahidis T, Papadopoulou P . Bilateral Renal Large B Cell Lymphoma in a Dog: A Case Report and Review of the Literature. Vet Sci. 2021; 8(11). PMC: 8624832. DOI: 10.3390/vetsci8110258. View

10.

Moser R, Narepalem N . Erosion of Hem-o-Lok clips at the bladder neck after robot-assisted radical prostatectomy. J Endourol. 2009; 23(6):949-51. DOI: 10.1089/end.2007.0328. View

11.

Kurz D, Mucksavage P . The Endoscopic Removal of Eroded Foreign Bodies in the Ureter. J Endourol Case Rep. 2016; 2(1):30-2. PMC: 4996585. DOI: 10.1089/cren.2016.0009. View

12.

Schatloff O, Lindner U, Lindner A . Current status of en bloc stapling of the renal hilum during laparoscopic nephrectomy. J Laparoendosc Adv Surg Tech A. 2010; 20(7):631-3. DOI: 10.1089/lap.2009.0435. View

13.

Cain M, Pope J, Casale A, Adams M, Keating M, Rink R . Natural history of refluxing distal ureteral stumps after nephrectomy and partial ureterectomy for vesicoureteral reflux. J Urol. 1998; 160(3 Pt 2):1026-7. DOI: 10.1097/00005392-199809020-00017. View

14.

Ravizzini P, Shulsinger D, Guarnizo E, Pavlovich C, Marion D, Sosa R . Hand-assisted laparoscopic donor nephrectomy versus standard laparoscopic donor nephrectomy: a comparison study in the canine model. Tech Urol. 1999; 5(3):174-8. View

15.

Rousset N, Abbondati E, Posch B, Owen L, Herrtage M . Unilateral hydronephrosis and hydroureter secondary to ureteric atresia, and uterus unicornis in a young terrier. J Small Anim Pract. 2011; 52(8):441-4. DOI: 10.1111/j.1748-5827.2011.01084.x. View

16.

Harold K, Pollinger H, Matthews B, Kercher K, Sing R, Heniford B . Comparison of ultrasonic energy, bipolar thermal energy, and vascular clips for the hemostasis of small-, medium-, and large-sized arteries. Surg Endosc. 2003; 17(8):1228-30. DOI: 10.1007/s00464-002-8833-7. View

17.

Labanaris A, Zugor V, Smiszek R, Nutzel R, Kuhn R . Empyema of the ureteral stump. An unusual complication following nephrectomy. ScientificWorldJournal. 2010; 10:380-3. PMC: 5763938. DOI: 10.1100/tsw.2010.45. View

18.

Androulakakis P, Stephanidis A, Antoniou A, Christophoridis C . Outcome of the distal ureteric stump after (hemi)nephrectomy and subtotal ureterectomy for reflux or obstruction. BJU Int. 2001; 88(6):586-9. DOI: 10.1046/j.1464-4096.2001.02385.x. View

19.

Przadka P, Liszka B, Skrzypczak P, Kubiak-Nowak D, Borawski W, Juzwiak L . Laparoscopic assisted percutaneous herniorrhapy in dogs using PIRS technique. PLoS One. 2020; 15(7):e0235899. PMC: 7351152. DOI: 10.1371/journal.pone.0235899. View

20.

Gookin J, Stone E, Spaulding K, Berry C . Unilateral nephrectomy in dogs with renal disease: 30 cases (1985-1994). J Am Vet Med Assoc. 1996; 208(12):2020-6. View