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V1889 RETROPERITONEAL ROBOTIC-ASSISTED LAPAROSCOPIC REIMPLANTATION OF A URETER INTO AN ILEAL CONDUIT

2012; Lippincott Williams & Wilkins; Volume: 187; Issue: 4S Linguagem: Inglês

10.1016/j.juro.2012.02.2044

1527-3792

Jason M. Durbin, James H. Masterson, Chad Pusateri, J. Bejma, Chong Choe, Brian K. Auge, James O. L’Esperance,

Bladder and Urothelial Cancer Treatments

You have accessJournal of UrologyOncology, Bladder Oncology1 Apr 2012V1889 RETROPERITONEAL ROBOTIC-ASSISTED LAPAROSCOPIC REIMPLANTATION OF A URETER INTO AN ILEAL CONDUIT Jason M. Durbin, LCDR James H. Masterson, LCDR Chad Pusateri, ENS Jeffery Bejma, Chong Choe, LCDR Brian K. Auge, andCDR James O. L'EsperanceCDR Jason M. DurbinJason M. Durbin San Diego, CA More articles by this author , James H. MastersonJames H. Masterson San Diego, CA More articles by this author , Chad PusateriChad Pusateri San Diego, CA More articles by this author , Jeffery BejmaJeffery Bejma San Diego, CA More articles by this author , Chong ChoeChong Choe San Diego, CA More articles by this author , Brian K. AugeBrian K. Auge San Diego, CA More articles by this author , and James O. L'EsperanceJames O. L'Esperance San Diego, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2044AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We sought to determine the feasibility and technique of a retroperitoneal robotic-assisted ureteral reimplantation into an ileal conduit. Our patient was ideal since he had a solitary right renal unit with a ureterointestinal anastamotic stricture. METHODS The operative steps are discussed and demonstrated in this video case report of a unique technique to manage uretero-enteric strictures. The patient is a morbidly obese male that underwent a left nephroureterectomy and cystoprostatectomy after neoadjuvant chemotherapy for node positive transitional cell carcinoma of both the bladder and left kidney. His single right ureter was anastomosed to the ileal conduit at that time. Post-operatively, he developed acute renal failure and hydronephrosis. Antegrade pyelogram demonstrated a distal stricture that failed endoscopic management. RESULTS Minimally-invasive retroperitoneal robotic-assisted laparoscopic reimplantation of his solitary ureter into an ileal conduit was successful. The patient reported minimal pain postoperatively and required minimal narcotics. His length of stay was 2 days. Renal function remained stable and his nephrostomy tube was removed. CONCLUSIONS A retroperitoneal robotic-assisted laparoscopic approach to unilateral uretero-enteric anastomotic stricture is a feasible approach and potentially minimized an otherwise very morbid and technically difficult procedure. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e762 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jason M. Durbin San Diego, CA More articles by this author James H. Masterson San Diego, CA More articles by this author Chad Pusateri San Diego, CA More articles by this author Jeffery Bejma San Diego, CA More articles by this author Chong Choe San Diego, CA More articles by this author Brian K. Auge San Diego, CA More articles by this author James O. L'Esperance San Diego, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...