Retroperitoneal robotic-assisted laparoscopic reimplantation of a ureter into an ileal conduit.

Autor: Durbin JM; Department of Urology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134, USA., Bejma J; Department of Urology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134, USA.; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA., Auge BK; Department of Urology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134, USA.; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA., L'Esperance JO; Department of Urology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134, USA. james.lesperance@med.navy.mil.; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA. james.lesperance@med.navy.mil.
Jazyk: angličtina
Zdroj: Journal of robotic surgery [J Robot Surg] 2012 Jun; Vol. 6 (2), pp. 171-3. Date of Electronic Publication: 2011 Jun 10.
DOI: 10.1007/s11701-011-0286-3
Abstrakt: A novel technique for managing ureteroenteric strictures is robotic-assisted retroperitoneal laparoscopic reimplantation. A 63-year-old morbidly obese male underwent a left nephroureterectomy and cystoprostatectomy after neoadjuvant chemotherapy for transitional cell carcinoma of both the bladder and left kidney. His single right ureter was anastomosed to the ileal conduit. Postoperatively, he developed acute renal failure and hydronephrosis. An antegrade pyelogram demonstrated a distal stricture that failed two attempts at endoscopic management. In an effort to avoid the morbidity of an open repair, we present a minimally invasive option that replicates the steps of an open reimplantation.
Databáze: MEDLINE
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