Robot-assisted ureteroureterostomy in the adult: initial clinical series

Urology
David I LeeAndrew Harris

Abstract

To report what we believe is the first series of robot-assisted ureteroureterostomy (RAUU) in adults with greater than 24-month follow-up because ureteral stricture disease can be difficult to manage. During 2004-2006, a total of 3 patients were found to have complex ureteral pathology: 2 with refractory symptomatic ureteral strictures and 1 with a complete ureteral transection. After thorough discussion of all available treatment options, these patients agreed to undergo RAUU. All patients had successful primary reanastomosis of the ureter robotically. Average operating room time was 136.6 minutes. Mean hospital stay was 3 days. All patients had ureteral stents placed during the operation. All patients at last follow-up were noted to be pain free with stable T(1/2) on nuclear renal scan. RAUU is a potential treatment option for ureteral strictures in carefully selected patients. These cases may include failed endopyelotomy, refractory ureteral stricture, or cases of ureteral transection in which a ureteral reimplantation may be difficult. The robotic platform provides excellent reconstructive capabilities that may be difficult to obtain for surgeons who are not performing laparoscopic cases in high volume.

References

Jun 17, 1998·The Journal of Urology·T J Polascik, R N Chen
May 10, 2001·International Journal of Urology : Official Journal of the Japanese Urological Association·K AmedaT Koyanagi
Nov 11, 2005·The Journal of Urology·Charles D ScalesDavid M Albala
Mar 23, 2006·Annals of Surgery·Richard E LinkLouis R Kavoussi
Feb 27, 2007·Urology·Matthew N SimmonsMihir M Desai
Sep 18, 2007·The Journal of Urology·Patrick W MufarrijMichael D Stifelman
Mar 1, 2008·Journal of Endourology·Carlo C PasserottiHiep T Nguyen

❮ Previous
Next ❯

Citations

Jun 19, 2010·Der Urologe. Ausg. A·A S BrandtS Roth
Jun 2, 2011·Clinics in Colon and Rectal Surgery·Scott E Delacroix, J C Winters
Nov 15, 2011·Current Opinion in Urology·Louis S Krane, Ashok K Hemal
Aug 23, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Zhi ChenNan-Nan Li
Sep 13, 2012·Journal of Endourology·Wahib IsacRobert J Stein
Aug 3, 2013·The Urologic Clinics of North America·Andrew P Windsperger, David A Duchene
Jan 28, 2014·Korean journal of urology·Christos KomninosKoon Ho Rha
Jul 18, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Guoliang SunZhangqun Ye
Feb 23, 2020·Journal of the Chinese Medical Association : JCMA·Zhi-Chen HungAlex T L Lin
Jun 10, 2021·Current Urology Reports·Javier Reinoso ElbersFernando Gómez Sancha

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.