Robot‐assisted technique for Boari flap ureteric reimplantation: replicating the techniques of open surgery in robotics

Stolzenburg, Jens‐Uwe; Prasad, Bhavan; Do, Minh; Dietel, Anja; Liatsikos, Evangelos; Ganzer, Roman; Qazi, Hasan; Meneses, Aurus Dourado; Kallidonis, Panagiotis

doi:10.1111/bju.13502

Cited by 35 publications

(16 citation statements)

References 5 publications

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“…On review of the literature we identified 17 studies ( Table 5 [66] , [67] , [68] , [69] , [70] , [71] , [72] , [73] , [74] , [75] , [76] , [77] , [78] , [79] , [80] , [81] , [82] ) evaluating distal ureteric reconstructive surgery, with institutions presenting their experience using a number of differing techniques including uretero-ureterostomy and uretero-neocystostomy (often with adjunct procedures such as Boari flap formation or Psoas hitch).…”

Section: Robot-assisted Distal Ureteric Reconstructionmentioning

confidence: 99%

Expanding the indications of robotic surgery in urology: A systematic review of the literature

Pal

Koupparis

2018

Arab Journal of Urology

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ObjectivesTo evaluate the recent developments in robotic urological surgery, as the introduction of robotic technology has overcome many of the difficulties of pure laparoscopic surgery enabling surgeons to perform complex minimally invasive procedures with a shorter learning curve. Robot-assisted surgery (RAS) is now offered as the standard for various surgical procedures across multiple specialities.MethodsA systematic search of MEDLINE, PubMed and EMBASE databases was performed to identify studies evaluating robot-assisted simple prostatectomy, salvage radical prostatectomy, surgery for urolithiasis, distal ureteric reconstruction, retroperitoneal lymph node dissection, augmentation ileocystoplasty, and artificial urinary sphincter insertion. Article titles, abstracts, and full text manuscripts were screened to identify relevant studies, which then underwent data extraction and analysis.ResultsIn all, 72 studies evaluating the above techniques were identified. Almost all studies were retrospective single-arm case series. RAS appears to be associated with reduced morbidity, less blood loss, reduced length of stay, and comparable clinical outcomes in comparison to the corresponding open procedures, whilst having a shorter operative duration and learning curve compared to the equivalent laparoscopic techniques.ConclusionEmerging data demonstrate that the breadth and complexity of urological procedures performed using the da Vinci® platform (Intuitive Surgical Inc., Sunnyvale, CA, USA) is continually expanding. There is a gaining consensus that RAS is producing promising surgical results in a wide range of procedures. A major limitation of the current literature is the sparsity of comparative trials evaluating these procedures.

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Section: Robot-assisted Distal Ureteric Reconstructionmentioning

confidence: 99%

Expanding the indications of robotic surgery in urology: A systematic review of the literature

Pal

Koupparis

2018

Arab Journal of Urology

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“…thologies [5,6,13,[16][17][18]20,21,[25][26][27][28][29][30][31]. Additionally, in 2011, Yang et al [28] published their single institution series which included one patient with endometriosis and another with ureteral transection during a GYN procedure.…”

Section: Ral Distal Ureteral Reconstructionmentioning

confidence: 99%

“…The authors discussed a novel technique for ureteral stent placement using a Council tip Foley catheter via the bladder and retrograde insertion into the ureter by the existing cystotomy. In 2016, Stolzenburg et al [29] reported the largest series of RAL reimplantation with BF in 11 patients with benign ureteral strictures. The authors reported success in all patients at 15 months of follow-up.…”

Section: Ral Distal Ureteral Reconstructionmentioning

confidence: 99%

Robot-assisted distal ureteral reconstruction for benign pathology: Current state

et al. 2020

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Distal ureteral reconstruction for benign pathologies such as stricture disease or iatrogenic injury has posed a challenge for urologist as endoscopic procedures have poor long-term outcomes, requiring definitive open reconstruction. Over the past decade, there has been an increasing shift towards robot-assisted laparoscopy (RAL) with multiple institutions reporting their outcomes. In this article, we reviewed the current literature on RAL distal ureteral reconstruction, focusing on benign pathologies only. We present peri-operative data and outcomes on the most common technique, ureteral reimplantation, as well as adjunct procedures such as psoas hitch and Boari flap. Additionally, we present alternative techniques reported in the literature with some technical considerations. Lastly, we describe the outcomes of the comparative studies between open, laparoscopy, and RAL. Although the body of literature in this field is limited, RAL reconstruction of the distal ureter appears to be safe, feasible, and with some advantages over the traditional open approach.

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“…Meanwhile, operative time and complication rates were similar. Ureteric reimplantation for long defects of the ureter has also safely and effectively replicated the steps of open surgery in the intracorporeal environment with the use of a Boari flap or ileal segment interposition, in small case series [9,10]. There is some debate with regard to the best technique of ureteric reimplantation.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

Robotic Surgery as Applied to Functional and Reconstructive Urology

Osman

Mangır

Mironska

et al. 2019

European Urology Focus

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Robot‐assisted technique for Boari flap ureteric reimplantation: replicating the techniques of open surgery in robotics

Cited by 35 publications

References 5 publications

Expanding the indications of robotic surgery in urology: A systematic review of the literature

Expanding the indications of robotic surgery in urology: A systematic review of the literature

Robot-assisted distal ureteral reconstruction for benign pathology: Current state

Robotic Surgery as Applied to Functional and Reconstructive Urology

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