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Updated: Dec 14, 2025
Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
A Multi-Institutional Experience With Robotic Appendiceal Ureteroplasty
Min Suk Jun1, Sabrina Stair1, Alex Xu1
1Department of Urology, New York University Grossman School of Medicine at New York University Langone Medical Center, New York, NY.
Objective:
To report a multi-institutional experience with robotic appendiceal ureteroplasty.
Methods:
This is a retrospective review of 13 patients undergoing right appendiceal flap ureteroplasty at 2 institutions between April 2016 and October 2019. The primary endpoint was surgical success defined by the absence of flank pain and radiographic evidence of ureteral patency.
Results:
Eight of 13 (62%) underwent appendiceal onlay while 5/13 (38%) underwent appendiceal interposition. Mean length of stricture was 6.5 cm (range 1.5-15 cm) affecting anywhere along the right ureter. Mean operative time was 337 minutes (range 206-583), mean estimated blood loss was 116 mL (range 50-600), and median length of stay was 2.5 days (range 1-9). Balloon dilation was required in 1/12 (8%). One patient died on postoperative day 0 due to a sudden cardiovascular event. Otherwise, there were no complications (Clavien-Dindo > 2) within 30 days from surgery. At a mean follow up of 14.6 months, 11/12 (92%) were successful.
Conclusion:
Robotic appendiceal ureteroplasty for right ureteral strictures is a versatile technique with high success rates across institutions.
