Ureteral Reimplantation, Psoas Hitch, and Boari Flap.
J Endourol
; 34(S1): S25-S30, 2020 05.
Article
em En
| MEDLINE
| ID: mdl-32459151
ABSTRACT
Introduction:
Ureteral reimplantation is indicated for patients with congenital distal ureteral strictures, for iatrogenic intraoperative distal ureteral injuries, and for those who require distal ureterectomy for transitional cell carcinoma.Methods:
Using the da Vinci system from Intuitive, we demonstrate distal ureterectomy with reimplantation. Both a refluxing extravesical reimplant and nonrefluxing extravesical reimplant are shown. We also demonstrate modifications, including psoas hitch and Boari flap.Results:
Robotic ureteral reimplantation with psoas hitch and Boari flap are demonstrated in a reproducible manner. Additional topics covered include the delineation of diseased ureter vs healthy ureter, the applications of indocyanine green, and the use of interoperative ureteral stents.Conclusions:
Robotic ureteral reimplantation is safe and feasible when performed with proper technique. Ureteroscopy and near-infrared fluorescence technology facilitate improved detection of diseased ureteral segments. Key points include the maintenance of principles of open surgery such as a tension-free, watertight, and stented anastomosis.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ureter
/
Obstrução Ureteral
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article