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A Multi-Institutional Experience Utilizing Boari Flap in Robotic Urinary Reconstruction.

Tanner D Corse1,2, Linda Dayan1, Nathan Cheng2

  • 1Department of Urology, Hackensack Meridian School of Medicine, Nutley, New Jersey, USA.

Journal of Endourology
|May 2, 2023
PubMed
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This summary is machine-generated.

Robotic ureteral reconstruction using the Boari flap (BF) shows a 90% success rate with few complications. Most failures occurred within two months post-surgery, indicating BF

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Reconstructive Surgery

Background:

  • Limited data exists on robotic ureteral reconstruction (RUR) outcomes using the Boari flap (BF).
  • This study addresses the scarcity of literature on RUR with BF by presenting multi-institutional findings.

Approach:

  • Prospective, multi-institutional review of 50 patients undergoing RUR with BF (Sept 2013-Sept 2021).
  • Data collected included preoperative, perioperative, and follow-up information.
  • Surgical success defined as absence of recurrent symptoms, obstruction, or need for further intervention.

Key Points:

  • The study identified 50 patients, with malignancy as the most common stricture cause (34.4%).
  • A high success rate of 90% was observed with a median follow-up of 15 months.
Keywords:
Boarireconstructionreimplantationroboticssingle portureter

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  • Major complications (Clavien-Dindo >2) were infrequent.

    • Conclusions:

    • Robotic ureteral reconstruction with the Boari flap demonstrates a high success rate and low complication rate.
    • The findings represent the largest prospective, multi-institutional study on RUR with BF to date.
    • All failures were noted within two months of the procedure.