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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
Summary
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.
- 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.
