Robot assisted intra-corporeal ileocalicostomy ureteral substitution for complex uretero-pelvic junction obstruction: a novel and feasible innovation

Kumar, Santosh; Chandna, Abhishek; Khanna, Ashish; Parmar, Kalpesh; Narain, Tushar Aditya; Sadasukhi, Nripesh

doi:10.1007/s11701-018-0885-3

Cited by 6 publications

(1 citation statement)

References 10 publications

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“…Notwithstanding the technical and technological innovation, the experiences of robotic ureteral substitution reported in the Literature still remain anecdotical (Table 1) (3,4,(10)(11)(12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

Subtotal ureteral substitution with ileum for patients with multiple ureteral stenosis

Porpiglia¹,

Checcucci²,

Piramide³

et al. 2020

Transl Androl Urol

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The use of small bowel for ureteral substitution in patients with ureteral stenosis can, nowadays, be safely performed with a laparoscopic or robotic mini-invasive approach. To date, this technique required a complete substitution of the ureter with ileum. In this work we present our robotic intracorporeal subtotal ureteral substitution preserving the distal part of the ureter with the aim to reduce the risk of vescicoureteral reflux. We report the case of a 65-years old male with a "functional" right single kidney and multiple recurrent stenosis. Our technique seems to be feasible and safe, no intra or postoperative complication were recorded. At 3 months of follow-up the trans-nephrostomic enhanced CT showed a completely opacification of ileal ureter, thus the nephrostomic tube was removed. At 6 and 12 months the patient was asymptomatic and with a level of serum creatinine 1.9 and 1.6 mg/dL, respectively. In conclusion the sub-total ureteral substitution with ileum can be a safety and effective procedure for patients who require a mandatory preservation of homolateral renal function.

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Section: Discussionmentioning

confidence: 99%

Subtotal ureteral substitution with ileum for patients with multiple ureteral stenosis

Porpiglia¹,

Checcucci²,

Piramide³

et al. 2020

Transl Androl Urol

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Robot-assisted repair of ureteral stricture

Xu,

Song,

Liang

2024

J Robotic Surg

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As robot-assisted laparoscopic techniques continue to advance, becoming increasingly complex and refined, there has been significant progress in the minimally invasive treatment of ureteral strictures. This abstract aims to provide an overview and description of various surgical techniques that utilize robots for repairing ureteral strictures. We have summarized the progression of these surgical methods and highlighted the latest advancements in the procedures. When compared to open surgery, robot-assisted reconstruction techniques demonstrate superior functional outcomes, fewer postoperative complications, and a faster recovery in the treatment of ureteral strictures. This abstract aims to provide an overview and description of various surgical techniques utilizing robots to repair ureteral strictures. Robotic ureteral stricture correction has emerged as a valuable therapeutic option, particularly when endoscopic procedures are not feasible. Compared to traditional open surgery, robotic methods exhibit superior therapeutic effectiveness, fewer postoperative complications, and accelerated recovery. Reconstructive procedures such as reimplantation, psoas hitch, Boari flap, ureter-to-ureter anastomosis, appendix graft, buccal mucosa graft (BMG), ileal transplantation, or kidney autotransplantation can be performed depending on the extent and location of the stricture. Robotic surgical techniques also offer advantages, such as an expanded field of vision and the incorporation of supplementary technologies such as FireflyTM, indocyanine green (ICG), and near-infrared fluorescence (NIRF) imaging. However, further long-term, multicenter investigations are necessary to validate the positive findings reported in existing case series. Compared with open surgery, robot-assisted reconstruction techniques yield superior functional outcomes, fewer postoperative complications, and accelerated recovery for the treatment of ureteral strictures.

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