V01-03 USE OF INTESTINAL BOWEL SEGMENTS FOR ADVANCED ROBOTIC RECONSTRUCTIVE SURGERY

Abstract

You have accessJournal of UrologyCME1 May 2022V01-03 USE OF INTESTINAL BOWEL SEGMENTS FOR ADVANCED ROBOTIC RECONSTRUCTIVE SURGERY Igor Voznesensky, Raju Thomas, and Erik Castle Igor VoznesenskyIgor Voznesensky More articles by this author , Raju ThomasRaju Thomas More articles by this author , and Erik CastleErik Castle More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002520.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: For well over 50 years, intestinal segments have been successfully used for urinary tract reconstruction, including procedures ranging from ileal conduit to ileal ureter interposition.With the advent of robotic techniques, it is now feasible to transfer open surgical techniques to minimally invasive platforms to perform these same procedures with excellent outcomes. METHODS: Utilizing standard open techniques for working with bowel segments translated onto the robotics platform, we can isolate the appropriate vascular pedicles for the intestinal segments, harvest bowel segments as needed and perform complex reconstruction as outlined in our video. Care is taken to make sure that the vascular supply and the re-alignment of the bowel segments are appropriate and consistent with core basic surgical principles and techniques.The principles of management for these procedures are the same. The advantage of the robotic approach is that we do not manipulate or retract on the bowels like we do with open surgical procedures and thereby enhancing early recovery and minimizing ileus. RESULTS: All three of the procedures mentioned in this video were successfully performed entirely robotically. The morbidity and the complication rates are extremely low and compares favorably with any published literature. CONCLUSIONS: With experience and with the knowledge of the basic bowel and vascular techniques, intestinal segments can safely be utilized for advanced urologic reconstruction using the Da Vinci robot. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e52 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Igor Voznesensky More articles by this author Raju Thomas More articles by this author Erik Castle More articles by this author Expand All Advertisement PDF DownloadLoading ...