V2001 ROBOTIC STONE SURGERY: URETEROLITHOTOMY

Abstract

You have accessJournal of UrologyTransplantation, Urolithiasis & Hydronephrosis1 Apr 2010V2001 ROBOTIC STONE SURGERY: URETEROLITHOTOMY Ashley Bowen, Ugur Boylu, and Benjamin Lee Ashley BowenAshley Bowen More articles by this author , Ugur BoyluUgur Boylu More articles by this author , and Benjamin LeeBenjamin Lee More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2013AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Large calculi (3cm x 1cm) in the proximal or mid ureter pose a difficult management dilemma. Options include multiple ureteroscopies with holmium laser lithotripsy, percutaneous nephrolithotomy, or ureterolithotomy. We present a case of a large proximal ureteral calculus which was treated via Robotic Ureterolithotomy. METHODS Following preoperative placement of ureteral stent, a 3 trocar configuration was utilized. Complete robotic mobilization of bowel, isolation of ureter, and localization of ureteral calculus was performed. Visual cues were performed to localize the ureteral calculus, although alternative options include laparoscopic ultrasound. RESULTS Extraction of the ureteral calculus was achieved with intact extraction. Placement within an Endocatch bag avoided any fragmentation during extraction. Reconstruction of the ureterotomy was performed with a 4-0 Vicryl on an SH needle in running fashion. Patient was discharged on POD#1. EBL 10cc. There were no complications. Stent was removed at 4 weeks. CONCLUSIONS Robotic ureterolithotomy is an option for large ureteral calculi in the proximal ureter. New Orleans, LA© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e776 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ashley Bowen More articles by this author Ugur Boylu More articles by this author Benjamin Lee More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...