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Robotic-assisted laparoscopic ureterocalicostomy.

Ruslan Korets¹, Elias S Hyams, Ojas D Shah

¹Department of Urology, New York University School of Medicine, New York, New York 10016, USA.

|September 11, 2007

Summary

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Robotic-assisted laparoscopic ureterocalicostomy offers a new minimally invasive option for treating ureteropelvic junction obstruction and proximal ureteral strictures. This technique, including intraoperative nephroscopy, provides a feasible alternative to traditional open or laparoscopic methods.

Area of Science:

Urology
Minimally Invasive Surgery
Robotic Surgery

Background:

Ureterocalicostomy is a standard treatment for complex ureteropelvic junction obstruction or proximal ureteral strictures.
Endoscopic management often fails in cases with specific anatomical challenges like small renal pelvis or significant fibrosis.

Observation:

A case of robotic-assisted laparoscopic ureterocalicostomy was performed for a patient with proximal ureteral stricture resistant to prior endoscopic treatments.
The procedure utilized laparoscopy for initial dissection and robotic assistance for critical steps like lower pole amputation and anastomosis.

Findings:

The robotic-assisted approach facilitated a successful ureterocalicostomy, including intraoperative nephroscopy via the lower pole calix.
The patient experienced complete resolution of the obstruction post-surgery, confirmed by imaging after stent removal.

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Implications:

Robotic-assisted laparoscopic ureterocalicostomy presents a viable and potentially advantageous alternative to open and purely laparoscopic techniques.
This approach may expand treatment options for challenging ureteral strictures and ureteropelvic junction obstructions.