First-ever Reported Obstructing Ureteral Nephrogenic Adenoma in a Child and Subsequent Robotic-assisted Laparoscopic Ileal Ureter

Koenig, Joel F.; Rensing, Adam; Austin, Paul F.; Vricella, Gino J.

doi:10.1016/j.urology.2016.03.013

Cited by 10 publications

(8 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, complete laparoscopic and robotic intracorporeal ileal ureter replacements were introduced by Sim and Brandao in 2014, respectively [11,26]. Several studies have described their own technique considerations with low complication rates and encouraging functional outcomes [12][13][14][15]; however, repositioning, undocking, and redocking the robot cannot be omitted given the need to work in different abdominal compartments. Recently, Ubrig et al used a 4-arm transperitoneal technique in 7 patients and undocking or redocking was not necessary [16].…”

Section: Discussionmentioning

confidence: 99%

“…Popularization of a robotic platform has been helpful. The rst robot-assisted laparoscopic procedure was performed by Wagner in 2009 [10], complete intracorporeal procedures were introduced in 2014 [11,12], and several case reports have demonstrated the feasibility of the robotic procedure in recent years [13][14][15][16][17]. Complete intracorporal robotic ileal ureteric replacement presents a signi cant surgical challenge.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Robot-assisted laparoscopic ileal ureter replacement with extracorporeal ileal segment preparation for long ureteral strictures: a case series

Fan

Han

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Complete intracorporal robotic ileal ureteric replacement is challenging. We aim to present the surgical technique of robotic ileal ureter replacement with extracorporeal ileal segment preparation for long ureteral strictures. Methods From March 2019 to March 2021, 18 patients underwent robotic ileal ureter replacement with extracorporeal ileal segment preparation by one experienced surgeon. The demographic, perioperative, and follow-up data were recorded. Success was defined as resolution of the presenting symptom, a stable estimated glomerular filtration rate and unobstructive drainage in imaging examination. Results All 18 surgeries were successfully completed without conversion. The median length of the intestinal tube used was 20(12–30) cm. The median operative time was 248(170–450) min, the median estimated blood loss was 50(10–200) mL, and the median postoperative hospital stay was 7 (5–27) days. At a median follow-up of 16(13–28) months, all patients were symptom-free. No or mild hydronephrosis was confirmed in 17 patients; 1 patient had moderate hydronephrosis without peristalsis of the ileal ureter. The renal function was stable in all patients. The overall success rate was 100%. Postoperative complication including 4 cases of urinary infection (Grade I), 1 case of incision hernia (Grade I), 4 cases of kidney stone formation (Grade I), 6 cases of metabolic acidosis (Grade I), 4 cases of incomplete ileus (Grade II) and 1 case of incision infection (Grade IIIb). Conclusions Robot-assisted laparoscopic ileal ureter replacement with extracorporeal ileal segment preparation is safe, feasible, and effective for the treatment of long ureteral strictures.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Robot-assisted laparoscopic ileal ureter replacement with extracorporeal ileal segment preparation for long ureteral strictures: a case series

Fan

Han

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…[ 42 ] The first case of pediatric robotic ileal ureter was recently described with good intraoperative and postoperative outcomes. [ 43 ]…”

Section: Robotic Ileal Uretermentioning

confidence: 99%

Robot-assisted ureteral reconstruction – current status and future directions

et al. 2018

View full text Add to dashboard Cite

Robotic surgery in the treatment in certain urological diseases has become a mainstay. With the increasing use of the robotic platform, some surgeries which were historically performed open have transitioned to a minimally invasive technique. Recently, the robotic approach has become more utilized for ureteral reconstruction. In this article, the authors review the surgical techniques for a number of major ureteral reconstuctive surgeries and briefly discuss the outcomes reported in the literature.

show abstract

“…It has also been reported that robot‐assisted laparoscopic surgery (RALS) is as safe as open surgery, and it is superior to open techniques with respect to intraoperative estimated blood loss (EBL) and postoperative recovery in a variety of reconstructive urological procedures 4 . However, there have only been a few reports with a limited number of ileal ureter cases 5,6 …”

Section: Introductionmentioning

confidence: 99%

“…4 However, there have only been a few reports with a limited number of ileal ureter cases. 5,6 To date, there have been no comparative analyses between different minimally invasive techniques. Therefore, we retrospectively compared the perioperative and intermediate-term functional outcomes between RALS and conventional laparoscopic ileal interposition in patients at our institution.…”

mentioning

confidence: 99%

Minimally invasive ileal ureter replacement: Comparative analysis of robot‐assisted laparoscopic versus conventional laparoscopic surgery

Zhu

Xiong

Fang

et al. 2021

Robotics Computer Surgery

View full text Add to dashboard Cite

Background This study is an initial comparative analysis of perioperative and intermediate‐term functional outcomes between patients who underwent robot‐assisted laparoscopic (RALS) or conventional laparoscopic surgery (LS). Materials and Methods A total of 25 patients who underwent ileal ureter replacement (10 RALS and 15 LS) were followed by functional cine magnetic resonance urography (MRU) combined with a modified Whitaker test. Also, the characteristics, perioperative data and functional outcomes of the patients were compared. Results The estimated blood loss, postoperative hospital stay and time to oral intake were significantly lower in the RALS group. At the median 14‐month follow‐up, all the patients showed improved renal function and were symptom‐free, with no signs of leakage or stenosis observed by cine MRU combined with a modified Whitaker test. Conclusions RALS with an extracorporeal bowel resection is feasible and appears to be safe, with quick postoperative recovery and encouraging outcomes.

show abstract

First-ever Reported Obstructing Ureteral Nephrogenic Adenoma in a Child and Subsequent Robotic-assisted Laparoscopic Ileal Ureter

Cited by 10 publications

References 7 publications

Robot-assisted laparoscopic ileal ureter replacement with extracorporeal ileal segment preparation for long ureteral strictures: a case series

Robot-assisted laparoscopic ileal ureter replacement with extracorporeal ileal segment preparation for long ureteral strictures: a case series

Robot-assisted ureteral reconstruction – current status and future directions

Minimally invasive ileal ureter replacement: Comparative analysis of robot‐assisted laparoscopic versus conventional laparoscopic surgery

Contact Info

Product

Resources

About