Amphisbaena procedure: antegrade JJS stenting during laparoscopic ureteric reconstruction

What is it about?

The amphisbaena procedure is a new method for JJ stent (JJS) placement during laparoscopic ureteric reconstruction. It is a practical, time-saving, and safe method that avoids extra cost, damage, and infection compared to preoperative or postoperative retrograde stenting. The procedure involves using a guidewire to cascade both ends of the JJS, inserting the JJS into the ureter, and holding the guidewire and JJS with forceps to ensure proper placement. The study involved 11 patients who underwent the procedure between January 2019 and July 2021, and all patients had successful placement of the JJS with no perioperative complications.

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Why is it important?

This research is important because it presents a novel and practical method for antegrade JJ stent (JJS) placement during laparoscopic ureteric reconstruction, which can save operating room time and avoid potential complications associated with preoperative or postoperative retrograde stenting. The study provides a valuable contribution to the field of urology, as it offers a safe and efficient technique for ureteric stricture management. Key Takeaways: 1. Antegrade JJS placement during laparoscopic ureteric reconstruction has several advantages compared to retrograde stenting. 2. The 'amphisbaena' procedure is a novel and practical method for antegrade JJS placement that reduces difficulty and time. 3. The procedure involves using a guidewire, placing the JJS into the ureter, and ensuring proper placement through B ultrasonography or X-ray. 4. The study demonstrates the feasibility, efficacy, and safety of the 'amphisbaena' procedure in 11 patients.