Clinical Report: Complete Ureteral Reconstruction Using a Small Intestinal Graft

Overview

This report presents a case of total ureteral replacement with a small intestinal graft in a patient with recurrent colorectal cancer. The surgical intervention aimed to manage ureteral obstruction caused by tumor progression, highlighting the importance of organ-preserving techniques in oncological surgery.

Background

Colorectal cancer is a prevalent malignancy, often leading to complications such as ureteral obstruction due to metastasis. Surgical options for managing ureteral involvement are limited, making innovative reconstructive techniques essential for improving patient outcomes. This case underscores the potential for intestinal grafts in ureteral reconstruction within the context of advanced colorectal cancer.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

• A 48-year-old female with recurrent colorectal cancer underwent total ureteral replacement using a small intestinal graft.
• The patient had a history of low anterior rectal resection and presented with ureteral obstruction due to tumor progression.
• Surgical intervention included en bloc resection of the recurrent mass, left ureter removal, adnexectomy, and segmental colectomy.
• Ureteral reconstruction was performed during the remission phase, demonstrating a novel approach to managing ureteral complications in colorectal cancer.
• This case illustrates the role of timely organ-preserving reconstruction in enhancing survival and quality of life.

Clinical Implications

The use of small intestinal grafts for ureteral reconstruction may offer a viable solution for patients with ureteral obstruction due to colorectal cancer metastasis. This approach highlights the importance of multidisciplinary planning in complex oncological cases.

Conclusion

This case study emphasizes the potential of intestinal grafts in ureteral reconstruction, contributing to improved management strategies for patients with advanced colorectal cancer.

Related Resources & Content

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2. Buccal Mucosa Graft Ureteroplasty Without Omental Coverage, 2024 -- A Promising Approach for Managing Ureteral Strictures
3. International Journal of Colorectal Disease, 2026 -- Robotic En Bloc Resection for Transverse Colon Carcinoma Complicated by a Malignant Colojejunal Fistula
4. Localised rectal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up, 2025
5. Robotic Surgical Reconstruction of Ureteral Strictures Resulting from Endometriosis: Findings from a Multi-Center Study
6. Localised rectal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up - PubMed
7. Double-Barrel Uro-Colostomy Versus Ileal Conduit for Urinary Diversion After Pelvic Exenteration: A Systematic Review and Meta-Analysis of Comparative Outcomes - PMC
8. Robotic ileal ureter replacement vs kidney autotransplantation for long ureteric strictures - PubMed