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Related Experiment Videos

Robot-assisted Transplanted Ureteral Stricture Management.

Haidar M Abdul-Muhsin1, Sean B McAdams1, Rafael N Nuñez1

  • 1Department of Urology, Mayo Clinic Arizona, Phoenix, AZ.

Urology
|April 16, 2017
PubMed
Summary

Robot-assisted ureteral reimplantation is a feasible minimally invasive option for treating transplanted ureteral strictures. This approach shows promise as an effective alternative to open surgery for complex cases.

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Robotic-assisted Laparoscopic Repair of Kidney Transplant Ureteral Strictures.

Urology·2024

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Transplanted ureteral strictures can lead to kidney function deterioration and recurrent urinary tract infections.
  • Endoscopic management often fails, necessitating alternative surgical interventions.
  • Open surgery for ureteral reimplantation is associated with significant morbidity.

Purpose of the Study:

  • To evaluate the feasibility of robot-assisted transplanted ureteral reimplantation.
  • To present perioperative outcomes and complications of this minimally invasive approach.

Main Methods:

  • A prospective study included 5 patients with transplanted ureteral strictures who failed prior endoscopic management.
  • All patients underwent robot-assisted ureteral reimplantation using modified Lich-Gregoir or pyelovesicostomy techniques.

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  • Data collected included demographics, operative time, complications, and postoperative outcomes.

    • Main Results:

    • Mean operative time was 164 minutes with no intraoperative complications or need for blood transfusion.
    • No immediate or delayed urine leaks were observed.
    • One patient experienced a Clavien grade IVa complication (sepsis). Median follow-up was 79 days with no identified strictures or delayed leaks.

    Conclusions:

    • Robot-assisted transplanted ureteral reimplantation is technically feasible.
    • This minimally invasive technique offers a potentially effective alternative for managing transplanted ureteral strictures.
    • Further studies with larger cohorts and longer follow-up are warranted.