Robot-assisted distal ureteral reconstruction for benign pathology: Current state.
Publication/Presentation Date
2-1-2020
Abstract
Distal ureteral reconstruction for benign pathologies such as stricture disease or iatrogenic injury has posed a challenge for urologist as endoscopic procedures have poor long-term outcomes, requiring definitive open reconstruction. Over the past decade, there has been an increasing shift towards robot-assisted laparoscopy (RAL) with multiple institutions reporting their outcomes. In this article, we reviewed the current literature on RAL distal ureteral reconstruction, focusing on benign pathologies only. We present peri-operative data and outcomes on the most common technique, ureteral reimplantation, as well as adjunct procedures such as psoas hitch and Boari flap. Additionally, we present alternative techniques reported in the literature with some technical considerations. Lastly, we describe the outcomes of the comparative studies between open, laparoscopy, and RAL. Although the body of literature in this field is limited, RAL reconstruction of the distal ureter appears to be safe, feasible, and with some advantages over the traditional open approach.
Volume
61
Issue
Suppl 1
First Page
23
Last Page
23
ISSN
2466-054X
Published In/Presented At
Asghar, A. M., Lee, R. A., Yang, K. K., Metro, M., & Eun, D. D. (2020). Robot-assisted distal ureteral reconstruction for benign pathology: Current state. Investigative and clinical urology, 61(Suppl 1), S23–S32. https://doi.org/10.4111/icu.2020.61.S1.S23
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
32055751
Department(s)
Administration and Leadership
Document Type
Article