Robotic Versus Open Distal Ureteral Reconstruction and Reimplantation for Benign Stricture Disease

Kozinn, Spencer; Canes, David; Sorcini, Andrea; Moinzadeh, Alireza

doi:10.1089/end.2011.0234

Cited by 87 publications

(51 citation statements)

References 17 publications

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“…Although technically demanding, with increasing experience in laparoscopic procedures, laparoscopic reimplantation has become a feasible option for management of such injuries. Recently, robotic-assisted ureteroneocystostomy has been reported to have successful outcomes [14,15,16]. …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

et al. 2015

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Introduction: Most commonly ureterovaginal fistula occurs due to surgical injury inflicted to the distal ureter and because of gynaecological procedures. Open surgical repair is a standard procedure and commonly involves ureteroneocystostomy. Methods: We retrospectively reviewed data of 9 patients, who underwent laparoscopic extravesical Lich-Gregoir ureteroneocystostomy using the psoas hitch procedure for ureterovaginal fistulas following hysterectomy during the period December 2012-August 2014. Transperitoneal laparoscopic ureteroneocystostomy was performed in all cases. Results: The mean operative time was 212 min (range 170-310) and estimated blood loss was 108 ml (range 70-150). Average hospital stay was 5.7 days. Follow-up time was from 6 to 26 months. Postoperative intravenous urography was done after 3 months, which showed patent anastomosis in 8 patients except for 1 patient who had nonvisualization of the ipsilateral renal moiety. Voiding cystogram done at 3 months showed no leakage in all patients. In the postoperative period, 1 patient had recurrent ipsilateral pyelonephritis 2 weeks after surgery, while another patient had febrile UTI. Apart from these no major complications were observed. Conclusion: Laparoscopic ureteroneocystostomy with psoas hitch can be performed safely with a success rate compared to that of open surgery but with less morbidity and quick convalescence.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

et al. 2015

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“…Robotic UNC was performed by five different surgeons in an analogous manner to the LAP approach with small modifications similar to prior reports. 11,12 The surgical approach was based on individual surgeon preference.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Similarly, the robot-assisted laparoscopic (RAL) approach has been applied to this procedure with similar enthusiasm, 6-10 with more recent series suggesting similar improvements in EBL, morphine requirements, and LOS over the open approach. 11,12 However, such reports are frequently limited by a small number of cases with short-term follow-up. Furthermore, no report has compared the LAP approach to the RAL approach.…”

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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“…Recently, case series on robotic-assisted ureteral reimplantation including psoas hitch and Boari flap report outstanding functional outcomes of 94-100 % [55][56][57][58][59][60]. One study compared robotic and open ureteral implantation in 20 matched patients and reported EBL and hospital stay were significantly reduced in the robotic group, and although operative time was higher, this variable was not statistically significant [57].…”

Section: Functional Outcomes Ureteral Reconstructionmentioning

confidence: 99%

“…One study compared robotic and open ureteral implantation in 20 matched patients and reported EBL and hospital stay were significantly reduced in the robotic group, and although operative time was higher, this variable was not statistically significant [57].…”

Section: Functional Outcomes Ureteral Reconstructionmentioning

confidence: 99%

Functional Outcomes of Bladder Reconstruction Secondary to Trauma and Ureteral Injury

Faris

2015

Curr Bladder Dysfunct Rep

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Injury to the ureter and bladder are relatively rare occurrences and provoke significant diagnostic dilemmas. Etiologies include external trauma, such as automobile accidents or gunshot wounds, and iatrogenic injuries during pelvic surgery or endoscopy. When lower urinary tract injury goes unrecognized, presenting symptoms can be vague and often delay diagnosis. Such delays may result in prolonged hospital stays and deterioration of renal function and have significant impact on a patient's quality of life. Reconstruction of these injuries can be challenging depending on the mechanism and location of injury. Overall functional outcomes of reconstruction for ureteral or bladder injuries is excellent, but there is limited data on post-operative voiding function. One unique injury worth mentioning is mesh erosion into the genitourinary tract where patients may have persistent lower urinary tract symptoms after reconstruction.

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Robotic Versus Open Distal Ureteral Reconstruction and Reimplantation for Benign Stricture Disease

Abstract: In experienced hands, RAUR for mid/distal benign ureteral strictures appears to be a reasonable alternative to open surgery.

Cited by 87 publications

References 17 publications

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

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

Functional Outcomes of Bladder Reconstruction Secondary to Trauma and Ureteral Injury

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