V09-08 ROBOT ASSISTED ILEAL INTERPOSITION

Abstract

You have accessJournal of UrologyUpper Tract Reconstruction (V09)1 Sep 2021V09-08 ROBOT ASSISTED ILEAL INTERPOSITION Tarek Ajami, Raul Martos, Joan Sureda, Agustin Franco, and Antonio Alcaraz Tarek AjamiTarek Ajami More articles by this author , Raul MartosRaul Martos More articles by this author , Joan SuredaJoan Sureda More articles by this author , Agustin FrancoAgustin Franco More articles by this author , and Antonio AlcarazAntonio Alcaraz More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002052.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The use of robot assisted techniques is progressively competing with standard approaches in reconstructive surgeries. In this video we present a case of robotic intracorporeal ileal substitution and describe the technique for this minimally invasive procedure. METHODS: The patient was derived to our center due to sepsis after a left ureteroscopy. Imaging revealed total ureteral avulsion that required nephrostomy tube placement. We patient was scheduled months later por robotic ileal interposition. RESULTS: The surgery was done in two phases. The first one included the ileal selection with reconstruction of bowel transit, transposition to the retroperitoneal space below the sigmoid colon, stenting with double J catheter and distal anastomosis to the bladder. The second phase is done in lateral decubitus position. The remnant of the ureter is dissected and sutured to the proximal intestinal end. Total surgical time was 6 hours. The patient had an uneventful postoperative recovery. Both stents were removed at the first month. In the CT scan there was no hydronephrosis and MAG-3 renal scintigraphy showed symmetric radiotracer uptake. CONCLUSIONS: A totally intracorporeal robot assisted ileal interposition is a feasible technique that permits a minimally invasive approach for two different fields. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e689-e689 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tarek Ajami More articles by this author Raul Martos More articles by this author Joan Sureda More articles by this author Agustin Franco More articles by this author Antonio Alcaraz More articles by this author Expand All Advertisement Loading ...