Contemporary Series of Robotic-Assisted Distal Ureteral Reconstruction Utilizing Side Docking Position

Detalhes bibliográficos
Autor(a) principal: Slater,Rick C.
Data de Publicação: 2015
Outros Autores: Farber,Nicholas J., Riley,Julie M., Shilo,Yaniv, Ost,Michael C.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Braz J Urol (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000601154
Resumo: Purpose: The robot-assisted approach to distal ureteral reconstruction is increasingly utilized. Traditionally, the robot is docked between the legs in lithotomy position resulting in limited bladder access for stent placement. We examined the use of side docking of the daVinci robot® to perform distal ureteral reconstruction. Materials and Methods: A retrospective review of distal ureteral reconstruction (ureteral reimplantation and uretero-ureterostomy) executed robotically was performed at a single institution by a single surgeon. The daVinci robotic® Si surgical platform was positioned at the right side of the patient facing towards the head of the patient, i.e. side docking. Results: A total of 14 cases were identified from 2011–2013. Nine patients underwent ureteral reimplantation for ureteral injury, two for vesicoureteral reflux, one for ureteral stricture, and one for megaureter. One patient had an uretero-ureterostomy for a distal stricture. Three patients required a Boari flap due to extensive ureteral injury. Mean operative time was 286 minutes (189–364), mean estimated blood loss was 40cc (10–200), and mean length of stay was 2.3 days (1–4). Follow-up renal ultrasound was available for review in 10/14 patients and revealed no long-term complications in any patient. Mean follow-up was 20.7 months (0.1–59.3). Conclusion: Robot-assisted laparoscopic distal ureteral reconstruction is safe and effective. Side docking of the robot allows ready access to the perineum and acceptable placement of the robot to successfully complete ureteral repair.
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spelling Contemporary Series of Robotic-Assisted Distal Ureteral Reconstruction Utilizing Side Docking PositionVideo-Assisted SurgeryUreterReconstructive Surgical Procedures Purpose: The robot-assisted approach to distal ureteral reconstruction is increasingly utilized. Traditionally, the robot is docked between the legs in lithotomy position resulting in limited bladder access for stent placement. We examined the use of side docking of the daVinci robot® to perform distal ureteral reconstruction. Materials and Methods: A retrospective review of distal ureteral reconstruction (ureteral reimplantation and uretero-ureterostomy) executed robotically was performed at a single institution by a single surgeon. The daVinci robotic® Si surgical platform was positioned at the right side of the patient facing towards the head of the patient, i.e. side docking. Results: A total of 14 cases were identified from 2011–2013. Nine patients underwent ureteral reimplantation for ureteral injury, two for vesicoureteral reflux, one for ureteral stricture, and one for megaureter. One patient had an uretero-ureterostomy for a distal stricture. Three patients required a Boari flap due to extensive ureteral injury. Mean operative time was 286 minutes (189–364), mean estimated blood loss was 40cc (10–200), and mean length of stay was 2.3 days (1–4). Follow-up renal ultrasound was available for review in 10/14 patients and revealed no long-term complications in any patient. Mean follow-up was 20.7 months (0.1–59.3). Conclusion: Robot-assisted laparoscopic distal ureteral reconstruction is safe and effective. Side docking of the robot allows ready access to the perineum and acceptable placement of the robot to successfully complete ureteral repair.Sociedade Brasileira de Urologia2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000601154International braz j urol v.41 n.6 2015reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-5538.IBJU.2014.0601info:eu-repo/semantics/openAccessSlater,Rick C.Farber,Nicholas J.Riley,Julie M.Shilo,YanivOst,Michael C.eng2016-01-13T00:00:00Zoai:scielo:S1677-55382015000601154Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2016-01-13T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false
dc.title.none.fl_str_mv Contemporary Series of Robotic-Assisted Distal Ureteral Reconstruction Utilizing Side Docking Position
title Contemporary Series of Robotic-Assisted Distal Ureteral Reconstruction Utilizing Side Docking Position
spellingShingle Contemporary Series of Robotic-Assisted Distal Ureteral Reconstruction Utilizing Side Docking Position
Slater,Rick C.
Video-Assisted Surgery
Ureter
Reconstructive Surgical Procedures
title_short Contemporary Series of Robotic-Assisted Distal Ureteral Reconstruction Utilizing Side Docking Position
title_full Contemporary Series of Robotic-Assisted Distal Ureteral Reconstruction Utilizing Side Docking Position
title_fullStr Contemporary Series of Robotic-Assisted Distal Ureteral Reconstruction Utilizing Side Docking Position
title_full_unstemmed Contemporary Series of Robotic-Assisted Distal Ureteral Reconstruction Utilizing Side Docking Position
title_sort Contemporary Series of Robotic-Assisted Distal Ureteral Reconstruction Utilizing Side Docking Position
author Slater,Rick C.
author_facet Slater,Rick C.
Farber,Nicholas J.
Riley,Julie M.
Shilo,Yaniv
Ost,Michael C.
author_role author
author2 Farber,Nicholas J.
Riley,Julie M.
Shilo,Yaniv
Ost,Michael C.
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Slater,Rick C.
Farber,Nicholas J.
Riley,Julie M.
Shilo,Yaniv
Ost,Michael C.
dc.subject.por.fl_str_mv Video-Assisted Surgery
Ureter
Reconstructive Surgical Procedures
topic Video-Assisted Surgery
Ureter
Reconstructive Surgical Procedures
description Purpose: The robot-assisted approach to distal ureteral reconstruction is increasingly utilized. Traditionally, the robot is docked between the legs in lithotomy position resulting in limited bladder access for stent placement. We examined the use of side docking of the daVinci robot® to perform distal ureteral reconstruction. Materials and Methods: A retrospective review of distal ureteral reconstruction (ureteral reimplantation and uretero-ureterostomy) executed robotically was performed at a single institution by a single surgeon. The daVinci robotic® Si surgical platform was positioned at the right side of the patient facing towards the head of the patient, i.e. side docking. Results: A total of 14 cases were identified from 2011–2013. Nine patients underwent ureteral reimplantation for ureteral injury, two for vesicoureteral reflux, one for ureteral stricture, and one for megaureter. One patient had an uretero-ureterostomy for a distal stricture. Three patients required a Boari flap due to extensive ureteral injury. Mean operative time was 286 minutes (189–364), mean estimated blood loss was 40cc (10–200), and mean length of stay was 2.3 days (1–4). Follow-up renal ultrasound was available for review in 10/14 patients and revealed no long-term complications in any patient. Mean follow-up was 20.7 months (0.1–59.3). Conclusion: Robot-assisted laparoscopic distal ureteral reconstruction is safe and effective. Side docking of the robot allows ready access to the perineum and acceptable placement of the robot to successfully complete ureteral repair.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-01
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000601154
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/S1677-5538.IBJU.2014.0601
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Urologia
publisher.none.fl_str_mv Sociedade Brasileira de Urologia
dc.source.none.fl_str_mv International braz j urol v.41 n.6 2015
reponame:International Braz J Urol (Online)
instname:Sociedade Brasileira de Urologia (SBU)
instacron:SBU
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institution SBU
reponame_str International Braz J Urol (Online)
collection International Braz J Urol (Online)
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