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Robot-Assisted Laparoscopic Ileal Ureter
BACKGROUND AND OBJECTIVES: A patient with a solitary kidney, cysteine stones, and recurrent ureteral strictures underwent robot-assisted laparoscopic ureterectomy with ileal ureter formation. METHODS: Using a transperitoneal, 4-port robotic approach, we removed the strictured ureter and created an i...
Autores principales: | , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015870/ https://www.ncbi.nlm.nih.gov/pubmed/18765059 |
Sumario: | BACKGROUND AND OBJECTIVES: A patient with a solitary kidney, cysteine stones, and recurrent ureteral strictures underwent robot-assisted laparoscopic ureterectomy with ileal ureter formation. METHODS: Using a transperitoneal, 4-port robotic approach, we removed the strictured ureter and created an ileal ureter. The ileal-pyelo and ileal-vesical anastomoses were performed using the robotic system. An extracorporeal bowel anastomosis was performed using stapling devices. Operative time was 9 hours with negligible blood loss, and the patient was discharged after 5 days. RESULTS: A cystogram at 10 days demonstrated patent anastomoses without extravasation. The patient continues to do well 48 months later. CONCLUSION: Robot-assisted laparoscopic ileal ureter replacement is feasible with excellent long-term outcome. |
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