Abstract
OBJECTIVE To assess perioperative, clinical, and functional outcomes following completely robotic ileal ureter. METHODS We retrospectively reviewed 7 consecutive patients undergoing completely intracorporeal ileal ureteric replacement between November 2015 and May 2017. One patient had a solitary kidney. A 4-arm technique was used. In 5 patients, additional psoas hitch procedure was performed. Patients had retrograde filling and removal of the ileal stent and transurethral catheter at an average of 14 days postoperatively. Renal ultrasonography, serum analysis, and diuretic renography were performed at follow-up 3 months postoperatively. RESULTS Mean operative time was 328 +/- 66.3 minutes and median estimated blood loss was 100 mL (range 50-200);mean length of the ileal substitute was 20.4 cm (range 18-24). No case was converted to open surgery. In 1 patient, there was a prolonged insufficiency of the pyeloileal anastomosis, requiring prolonged stenting. Apart from that, there were no major complications and no open surgical or endoscopic reinterventions. On 3-month follow-up, all patients presented symptomfree, with no signs of obstruction on ultrasound and significantly improved glomerular filtration rate, creatinine levels, and differential renal function (P = .02, 0.03, and 0.046, respectively). Five patients had a diuretic halftime < 10 minutes, 2 had a halftime between 10 and 20 minutes. CONCLUSION Completely intracorporeal robotic ileal ureteric replacement results in full functional restoration of the upper tract in cases of long defects of the mid and upper ureter.
| Dokumententyp: | Zeitschriftenartikel |
|---|---|
| Fakultät: | Medizin |
| Themengebiete: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit |
| ISSN: | 0090-4295 |
| Sprache: | Englisch |
| Dokumenten ID: | 63286 |
| Datum der Veröffentlichung auf Open Access LMU: | 19. Jul. 2019, 12:13 |
| Letzte Änderungen: | 04. Nov. 2020, 13:41 |
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