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Robotic distal ureterectomy and re-implant for obstructing metastatic melanoma - surgical considerations in the

Arshia Sandozi1, Dhaval Jivanji1, Yiwu Huang1

  • 1Division of Urology, Maimonides Medical Center, Brooklyn, New York, USA.

The Canadian Journal of Urology
|October 17, 2022
PubMed

Insights

Non-urothelial malignant ureteral obstruction can cause kidney damage. Robotic-assisted surgery offers a definitive repair option for select cases of ureteral obstruction due to metastatic melanoma.

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Non-urothelial malignant ureteral obstruction (MUO) leads to hydronephrosis, renal damage, and infections.
  • Systemic therapy and patient condition guide urologic intervention for MUO.

Purpose of the Study:

  • To describe a robotic-assisted surgical approach for definitive repair of obstructive metastatic melanoma in the ureter.

Main Methods:

  • Robotic-assisted distal ureterectomy and reimplantation were performed for definitive reconstruction.
  • Case selection was based on the overall condition, symptoms, and systemic therapy plans.

Main Results:

  • The study presents a case of successful robotic-assisted ureterectomy and reimplantation for obstructive metastatic melanoma.
  • This approach offers a definitive solution in well-selected MUO cases.

Conclusions:

  • Robotic-assisted distal ureterectomy and reimplantation are effective for definitive repair in select patients with non-urothelial malignant ureteral obstruction.
  • Metastatic melanoma causing ureteral obstruction can be managed with this minimally invasive reconstructive technique.
Keywords:
melanomametastatic cancerreimplantationureterectomy

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