2007
DOI: 10.1089/end.2006.0303
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Case Report: Pure Robot-Assisted Psoas Hitch Ureteral Reimplantation for Distal-Ureteral Stenosis

Abstract: Robot-assisted procedures are slowly invading minimally invasive urologic surgery. When superior visibility, meticulous dissection, or complex reconstruction is needed, robotic surgery may offer benefits over conventional laparoscopy. We report the use of the da Vinci robotic system for laparoscopic psoas hitch-supported ureteral reimplantation. We believe this procedure was facilitated technically compared with conventional laparoscopy.

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Cited by 34 publications
(14 citation statements)
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“…Some authors have recently described robot-assisted reconstructive surgery of the distal ureter for benign stricture disease; however, only one case series evaluated robot-assisted distal ureterectomy with reconstruction for distal ureteral TCC. [16][17][18][19][20][21] Analysis of our experience shows similar oncologic outcomes compared with open or laparoscopic management of upper-tract TCC. 3,4,[22][23][24] For RAL nephroureterectomy, at a mean follow-up of 15.2 months, 4 of the 11 patients experienced disease recurrence.…”
Section: Discussionmentioning
confidence: 65%
See 1 more Smart Citation
“…Some authors have recently described robot-assisted reconstructive surgery of the distal ureter for benign stricture disease; however, only one case series evaluated robot-assisted distal ureterectomy with reconstruction for distal ureteral TCC. [16][17][18][19][20][21] Analysis of our experience shows similar oncologic outcomes compared with open or laparoscopic management of upper-tract TCC. 3,4,[22][23][24] For RAL nephroureterectomy, at a mean follow-up of 15.2 months, 4 of the 11 patients experienced disease recurrence.…”
Section: Discussionmentioning
confidence: 65%
“…Although some have described robot-assisted reconstructive surgery of the distal ureter for benign stricture disease, only one case series evaluated robot-assisted distal ureterectomy with reconstruction for distal ureteral TCC. [16][17][18][19][20][21] In our series, management of the kidney as well as distal ureter with bladder cuff for nephroureterectomy was performed using only robot-assisted dissection. To the best of our knowledge, we are the first to report on the complete robotic approach for RAL nephroureterectomy.…”
Section: Introductionmentioning
confidence: 99%
“…5 Since then, various technical modifications to the original technique have been reported, including the use of vesicopsoas hitch, submucosal tunnel to create antireflux and finally the use of robotic assistance. 9,12,17 Among these refinements was the versatile laparoscopic Boari flap, first reported by De Naeyer et al 24 Patil et al 25 Rassweiler et al 32 Gozen et al 33 Laparoscopic ureteral reimplantation 73 and to avoid the need for complex intracorporeal suturing. 8 Furthermore, this technique eliminates the creation of a potentially ischaemic bladder flap.…”
Section: Discussionmentioning
confidence: 99%
“…Sin embargo, en lo que se refi ere a patología oncológica, sólo se han publicado 2 casos en la literatura reciente 5,6 . Con la introducción de la cirugía laparoscópica asistida por robot, se han publicado algunas series de neoimplante ureteral tradicional distal demostrando ser una técnica segura y efectiva 17,18 . Schimpf y cols, en el 2008 fueron los primeros en publicar un caso de neoimplante vesicoureteral con técnica de fl ap Boari con asistencia robótica en un caso de estenosis ureteral benigna con resultados muy satisfactorios 19 .…”
Section: Discussionunclassified