Abstract
Robotic-assisted ureteral reimplantations were performed on 3 patients at a single institution, 2 with Boari flap and psoas hitch and 1 with psoas hitch alone. These were for urothelial carcinoma of the distal ureter, ureteral obstruction caused by distal ureteral endometriosis, and ureteral transaction during gynecologic surgery. We used intraoperative ureteroscopy to confirm tumor margins as well as a simple technique for retrograde placement of transvesicle wire prior to ureteral anastomosis. Surgery and recovery were uneventful. This illustrates that robotic-assisted ureteral reimplantation with Boari flap and psoas hitch is a safe and viable approach for ureterovesicle reconstruction.
Highlights
Robotic-assisted laparoscopic techniques are becoming more ubiquitous in urologic surgery
Recent authors have shown the feasibility of the da Vinci surgical robotic system (Intuitive Surgical, Inc., Sunnyvale, CA) for Boari flap reconstruction in cases of distal ureterectomy[1] and for iatrogenic stricture.[2]
We present our early experience in performing robotic distal ureterectomy with ureteral reimplantation using Boari flap and/or psoas hitch techniques
Summary
Robotic-assisted laparoscopic techniques are becoming more ubiquitous in urologic surgery. Recent authors have shown the feasibility of the da Vinci surgical robotic system (Intuitive Surgical, Inc., Sunnyvale, CA) for Boari flap reconstruction in cases of distal ureterectomy[1] and for iatrogenic stricture.[2] Many others have reported success in performing robotic distal ureteral reimplantation with psoas hitch.[3,4,5,6,7] We present our early experience in performing robotic distal ureterectomy with ureteral reimplantation using Boari flap and/or psoas hitch techniques. We introduce simple techniques for intraoperative placement of the ureteral stent and verification of negative tumor margins
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Journal of Laparoendoscopic & Advanced Surgical Techniques
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
