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Updated: Jun 24, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Robot-assisted laparoscopic distal ureteral surgery.

Megan O Schimpf1, Joseph R Wagner

  • 1Division of Urogynecology, Department of Obstetrics & Gynecology, Hartford Hospital, Hartford, Connecticut, USA. Megan.schimpf@upbs.upenn.edu

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|April 16, 2009
PubMed
Summary

Robot-assisted laparoscopic surgery is effective for complex distal ureteral procedures, including cancer and benign conditions. Maintaining open surgery principles ensures successful outcomes in these advanced robotic applications.

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Area of Science:

  • Urology
  • Surgical Robotics
  • Minimally Invasive Surgery

Background:

  • Robotic assistance has proven successful in adult genitourinary surgery.
  • Surgeons are exploring robotic applications in new surgical areas.
  • Prior success in prostatectomy paved the way for further robotic adoption.

Purpose of the Study:

  • To evaluate the application of robot-assisted surgery for complex distal ureteral procedures.
  • To assess the outcomes of robot-assisted laparoscopic distal ureteral surgery.

Main Methods:

  • Application of robotic surgery to complex distal ureteral surgeries since 2004.
  • Series of 11 patients undergoing robot-assisted laparoscopic distal ureteral surgery.
  • Procedures included distal ureterectomy with reimplantation for cancer and reimplantation with reconstructive techniques (Boari flap or psoas hitch) for benign conditions.

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Main Results:

  • Successful outcomes were achieved in robot-assisted laparoscopic distal ureteral surgery.
  • The technique was applied to both malignant (ureteral cancer) and benign conditions.
  • Specific reconstructive techniques were successfully integrated into the robotic approach.

Conclusions:

  • Robot-assisted laparoscopic surgery is a viable and successful option for distal ureteral reconstruction.
  • Adherence to fundamental open surgical principles is critical for successful robotic distal ureteral surgery.