Laparoscopic ureteral reimplant for ureteral stricture

Soares, Rodrigo Silva Quintela; Abreu, Rubens A. de; Távora, José Eduardo Fernandes

doi:10.1590/s1677-55382010000100006

Cited by 21 publications

(15 citation statements)

References 13 publications

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“…1 Recently, the laparoscopic (LAP) approach to the UNC has been described in several reports. [2][3][4] Such series hail excellent success rates proving feasibility without comparison. One report, a matched cohort of 10 patients, revealed demonstrable improvements in estimated blood loss (EBL), morphine requirements, length of stay (LOS), and convalescence time 5 when compared to open UNC.…”

Section: Introductionmentioning

confidence: 99%

Open, Laparoscopic, and Robotic Ureteroneocystotomy for Benign and Malignant Ureteral Lesions: A Comparison of Over 100 Minimally Invasive Cases

Elsamra

Theckumparampil²,

Garden³

et al. 2014

Journal of Endourology

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Section: Introductionmentioning

confidence: 99%

Open, Laparoscopic, and Robotic Ureteroneocystotomy for Benign and Malignant Ureteral Lesions: A Comparison of Over 100 Minimally Invasive Cases

Elsamra

Theckumparampil²,

Garden³

et al. 2014

Journal of Endourology

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“…[3,[6][7][8][9][10][11][12][13][14][15][16][17] Rassweiler et al [7] observed longer operative time (253 minutes vs. 220 minutes), shorter hospital stay (8 days vs.17 day) with 100% successs rate in the [11] 1 210 3 90 50 mg morphine…”

Section: Discussionmentioning

confidence: 99%

“…Ramalingam et al [8] Allarpathi et al [15] 2 RALBF UT 1 M 2R 245 2 30 6 22 mg morphine 1F Soares et al [16] 2 H 2F 1R US 1L 120 2 140 6 Gozen et al Ramalingam et al [8] performed laparoscopic ureteral reimplantation with Boari flap in 3 patients successfully with median operative time of 320 mins (range 300-320 min). Castillo et al [9] reported 9 cases of laparoscopic reimplantation procedure with Boari flap.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic ureteral reimplantation with Boari flap for the management of long- segment ureteral defect: A case series with review of the literature

Bansal¹,

Sinha²,

Jhanwar³

et al. 2017

Turkish Journal of Urology

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Objective: The incidence of ureteral stricture is showing a rising trend due to increased use of laparoscopic and upper urinary tract endoscopic procedures. Boari flap is the preferred method of repairing long-segment ureteral defects of 8-12 cm. The procedure has undergone change from classical open (transperitoneal and retroperitoneal) method to laparoscopic surgery and recently robotic surgery. Laparoscopic approach is cosmetically appealing, less morbid and with shorter hospital stay. In this case series, we report our experience of performing laparoscopic ureteral reimplantation with Boari flap in 3 patients. Material and methods:This prospective study was conducted between January 2011 December 2014. The patients with a long-segment ureteral defect who had undergone laparoscopic Boari flap reconstruction were included in the study. Outcome of laparoscopic ureteral reimplantation with Boari flap for the manangement of long segment ureteral defect was evaluated. Results:The procedure was performed on 3 patients, and male to female ratio was 1:2. One patient had bilateral and other two patient had left ureteral stricture. The mean length of ureteral stricture was 8.6 cm (range 8.2 -9.2 cm). The mean operative time was 206 min (190 to 220 min). The average estimated blood loss was 100 mL (range 90-110 mL) and mean hospital stay was 6 days (range 5 to 7 days). The mean follow up was 19 months (range 17-22 months). None of the patients experienced any complication related to the procedure in perioperative period. Conclusion:Laparoscopic ureteral reimplantation with Boari flap is safe, feasible and has excellent long term results. However, the procedure is technically challenging, requires extensive experience of intracorporeal suturing.

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“…Para lesiones de uréter medio y distal, sobretodo de gran longitud, la técnica de neoimplante de fl ap Boari permite confeccionar una anastomosis libre de tensión entre el uréter y el fl ap vesical. Si bien el estándar continúa siendo la cirugía abierta, desde que esta técnica fue inicialmente descrita por vía laparoscópica en modelos animales 11 , existen varias series publicadas en la literatura en el manejo de patologías ureterales benignas con resultados alentadores comparables a su contraparte abierta 4,5,[12][13][14][15] . Sin embargo, en lo que se refi ere a patología oncológica, sólo se han publicado 2 casos en la literatura reciente 5,6 .…”

Section: Discussionunclassified

Ureterectomía radical distal por cáncer urotelial y reconstrucción ureteral asistida por robot

López-Fontana²,

M³

et al. 2011

Rev Chil Cir

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Radical distal ureterectomy secondary to an urotelial cancer and ureteral reconstruction robot-assisted. Case report Objective: To report a case of distal ureterectomy with robotic-assisted laparoscopic reimplantation using a Boari fl ap technique. Material and Methods: We report a 55 year old man with a diagnosis of distal ureteral urothelial carcinoma without multifocality. Results: A radical distal ureterectomy and robotic-assisted laparoscopic vesicoureteral reimplantation using a Boari fl ap technique was performed with the da Vinci S-HD surgical system. The operative time was 210 minutes, the estimated blood loss was 200 mL. The hospital stay was 48 hours, without perioperative complications. The histopathological study showed a high grade nonmuscle invasive urothelial carcinoma of the distal ureter (pT1NxMx) with negative margins. Conclusions: The distal radical ureterectomy with Boari replacement is feasible and more precise with robotic assistance. Its oncological role must be demostrated with a larger number of cases.Key words: Urotelial carcinoma, ureteral tumor, ureterectomy, Boari fl ap, ureteroneocystostomy, robotic surgery. ResumenObjetivo: Comunicar un caso de tumor ureteral distal tratado con ureterectomía radical y neoimplante vesicoureteral con técnica de Flap Boari asistida por robot. Material y Métodos: Paciente hombre de 55 años, con diagnóstico de carcinoma urotelial de uréter distal sin compromiso multifocal. Resultados: Se realizó ureterectomía distal radical y neoimplante vesicoureteral con Flap Boari asistido por Robot da Vinci S-HD. El tiempo operatorio fue de 210 minutos, con un sangrado estimado de 200 ml. La estadía hospitalaria fue de 48 horas, sin complicaciones perioperatorias. El estudio histológico mostró un carcinoma urotelial de alto grado con infi ltración de la lámina propia (pT1NxMx) y márgenes quirúrgicos negativos. Conclusiones: La ureterectomía radical distal con reconstrucción tipo Boari es técnicamente factible y más precisa con la asistencia robótica. Su rol oncológico requiere de validación con mayor número de casos.Palabras clave: Cáncer de urotelio, tumor ureteral, ureterectomía, fl ap de Boari, ureteroneocistostomía, cirugía robótica.

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Laparoscopic ureteral reimplant for ureteral stricture

Cited by 21 publications

References 13 publications

Open, Laparoscopic, and Robotic Ureteroneocystotomy for Benign and Malignant Ureteral Lesions: A Comparison of Over 100 Minimally Invasive Cases

Open, Laparoscopic, and Robotic Ureteroneocystotomy for Benign and Malignant Ureteral Lesions: A Comparison of Over 100 Minimally Invasive Cases

Laparoscopic ureteral reimplantation with Boari flap for the management of long- segment ureteral defect: A case series with review of the literature

Ureterectomía radical distal por cáncer urotelial y reconstrucción ureteral asistida por robot

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