Robotic Ureteral Bypass Surgery with Appendiceal Graft for Management of Long-Segment Radiation-Induced Distal Ureteral Strictures: A Case Series.
| Autor: | Lee M; Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA., Lee Z; Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA., Metro MJ; Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA., Eun DD; Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of endourology case reports [J Endourol Case Rep] 2020 Dec 29; Vol. 6 (4), pp. 305-309. Date of Electronic Publication: 2020 Dec 29 (Print Publication: 2020). |
| DOI: | 10.1089/cren.2020.0105 |
| Abstrakt: | Introduction: Surgical management of long-segment radiation-induced distal ureteral strictures (RIDUS) is challenging. Pelvic radiation can damage the bladder, inhibiting the utilization of typical reconstruction techniques such as a psoas hitch and/or Boari flap. Also, radiation can cause scarring that can make ureterolysis difficult. Case Presentation: We present a case series of patients undergoing robotic ureteral bypass surgery with appendiceal graft for management of strictures in this setting. This novel procedure utilizes the patient's appendix as a bypass graft to divert urine away from the strictured portion of ureter and into the bladder; this technique does not require dissection of the strictured ureteral segment. Conclusion: Robotic ureteral bypass surgery can be effective for management of long-segment RIDUS. Competing Interests: M.L. and Z.L. have no competing financial interests. M.J.M. is a consultant and speaker for Endo Pharmaceuticals, Coloplast, and Boston Scientific. D.D.E. is a paid speaker, consultant, and proctor for Intuitive Surgical, a consultant for Johnson and Johnson, performs support for trainees for Hitachi Aloka, and is a founder/part owner of Melzi Corp. (Copyright 2020, Mary Ann Liebert, Inc., publishers.) |
| Databáze: | MEDLINE |
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