V864 ROBOTIC SURGICAL MANAGEMENT OF UPPER TRACT UROTHELIAL CARCINOMA

Abstract

You have accessJournal of UrologyReconstruction, Transitional Cell Carcinoma & Adrenal1 Apr 2011V864 ROBOTIC SURGICAL MANAGEMENT OF UPPER TRACT UROTHELIAL CARCINOMA Joseph Pugh, Aaron Grossman, Sijo Parekattil, and Li-Ming Su Joseph PughJoseph Pugh Gainesville, FL More articles by this author , Aaron GrossmanAaron Grossman Gainesville, FL More articles by this author , Sijo ParekattilSijo Parekattil Gainesville, FL More articles by this author , and Li-Ming SuLi-Ming Su Gainesville, FL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.686AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The standard management of upper tract urothelial carcinoma consists of surgical resection. Recently robotic urologic surgery has expanded to address not only lower but also upper urinary tract disorders including urothelial carcinoma of the renal pelvis and ureter. Herein, we present our institution's experience and technique of robotic nephroureterectomy and distal ureterectomy with psoas hitch and ureteral reimplantation. METHODS This video presentation will highlight our step by step technique of robotic nephroureterectomy and distal ureterectomy with psoas hitch and ureteral reimplantation. RESULTS To date, we have completed 13 robot-assisted nephroureterectomies including five right sided and eight left sided, as well as 4 left-sided robot-assisted distal ureterectomies with psoas hitch and ureteral reimplantation. The mean age was 65.5 years (range 43–84), operative time was 254 min, blood loss was 91 mL, and length of hospitalization was 2.67 days (range 1–5). CONCLUSIONS Robotic management of upper tract urothelial carcinoma is a reasonable alternative to laparoscopic or open surgery and is associated with low morbidity. These robotic techniques can be especially useful during steps requiring suturing such as closure of cystotomy, psoas hitch reconstruction and ureteral reimplantation. These surgical approaches may benefit surgeons with limited laparoscopic training or robotic surgeons hoping to expand their robotic offerings. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e346 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joseph Pugh Gainesville, FL More articles by this author Aaron Grossman Gainesville, FL More articles by this author Sijo Parekattil Gainesville, FL More articles by this author Li-Ming Su Gainesville, FL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...