Abstract: Objective:To investigate the clinical efficacy of laparoscopic ureteral reconstruction to treat ureteral injury caused by uterectomy.Methods:20 patients with ureteral injury caused by uterectomy were treated laparoscopically by transperitoneal approach.The ureter was first found supine or above the external iliac artery.Distal ureter was completely dissociated.The ureter was cut off 1cm above the injury site，then ureter was anastomosed to the bladder.〖WTHZ〗Results:The average operation time was 96 minutes.All cases were done by laparoscopic，no blood transfusion and no other serious complications occurred.Follow up was done for 4 to 26 months and 5 of them had mild hydronephrosis and 1 of them had left ureteral orifice stenosis which was been cured after balloon dilation.Conclusion:Laparoscopic ureteral reconstruction is a mini invasive，safe and effective method to treat ureteral injury after hysterectomy andshowed a good clinical value.

Key words: ureteral injury, ureteral reconstruction, uterectomy, laparoscopic