Robotic-Assisted Ureteral Reimplantation with Boari Flap and Psoas Hitch: A Single-Institution Experience
| Autor: | Loren Jones, Graham T. VerLee, Marcelino E. Rivera, Leslie A. Deane, Christopher Yang |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Ureteral endometriosis Robotic assisted Iatrogenic Disease Psoas hitch Endometriosis Anastomosis urologic and male genital diseases Free Tissue Flaps Intraoperative Period Ureteroscopy Humans Ureteral Diseases Medicine Boari flap Single institution Aged Psoas Muscles medicine.diagnostic_test Ureteral Neoplasms urogenital system business.industry Robotics female genital diseases and pregnancy complications Surgery surgical procedures operative Replantation Female Ureter Urothelium business Ureteral reimplantation Ureteral Obstruction |
| Zdroj: | Journal of Laparoendoscopic & Advanced Surgical Techniques. 21:829-833 |
| ISSN: | 1557-9034 1092-6429 |
| DOI: | 10.1089/lap.2011.0028 |
| Popis: | Robotic-assisted ureteral reimplantations were performed on 3 patients at a single institution, 2 with Boari flap and psoas hitch and 1 with psoas hitch alone. These were for urothelial carcinoma of the distal ureter, ureteral obstruction caused by distal ureteral endometriosis, and ureteral transaction during gynecologic surgery. We used intraoperative ureteroscopy to confirm tumor margins as well as a simple technique for retrograde placement of transvesicle wire prior to ureteral anastomosis. Surgery and recovery were uneventful. This illustrates that robotic-assisted ureteral reimplantation with Boari flap and psoas hitch is a safe and viable approach for ureterovesicle reconstruction. |
| Databáze: | OpenAIRE |
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