Robotic-Assisted Laparoscopic Management of Ureteral Endometriosis

Abstract

This report describes 2 cases of ureteral obstruction secondary to endometriosis managed with robotic-assisted laparoscopic partial ureterectomy and ureteroneocystostomy.

Robotic-Assisted Hysterectomy for the Management of Severe Endometriosis: A Retrospective Review of Short-Term Surgical Outcomes

“…Isolated reports have documented its use in patients with severe endometriosis involving the urinary and gastrointestinal systems. 7,8 These reports encourage further exploration of robotic surgery in this population of patients.…”

The role of the robot in treating urinary tract endometriosis

“…The disease most commonly affects women between the ages of 25 and 40. The bladder is most commonly affected followed by the ureter and kidneys with a ratio estimated at 40 : 5 : 1 [1,21,22 && ] (see Table 1 [13,14,19,20,[23][24][25][26][27][28][29][30] for the list of publications discussed below).…”

“…Ureteral implantation requires precise movements and the use of fine caliber suture. The advantages of robotic assistance, specifically better visualization and wristed instrumentation, may be well suited to this type of surgical intervention [30]. To date, four case reports have been published to describe this procedure in the setting of endometriosis.…”

“…Frick et al [30] reported two cases of ureteral obstruction secondary to endometriosis managed with robotic-assisted laparoscopic partial ureterectomy and ureteroneocystostomy. Khanna et al [35] described the techniques involved in robotic-assisted ureteral reconstruction because of multiple causes including endometriosis.…”

Ureteral endometriosis following panhysterectomy a case report

“…10 Firefly TM technology and indocyanine green facilitate identification of endometriosis in single-site robotic surgery, as the endometriotic deposits are associated with a high degree of neovascularization. This enables them to perform single-site laparoscopic resection of advanced endometriotic nodules overlying the ureter and rectum with complete resolution of pelvic pain symptoms and excellent cosmetic results.…”