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Robot-assisted laparoscopic ileal ureter

Robot-assisted laparoscopic ileal ureter

Jsls 12(3): 306-309

A patient with a solitary kidney, cysteine stones, and recurrent ureteral strictures underwent robot-assisted laparoscopic ureterectomy with ileal ureter formation. Using a transperitoneal, 4-port robotic approach, we removed the strictured ureter and created an ileal ureter. The ileal-pyelo and ileal-vesical anastomoses were performed using the robotic system. An extracorporeal bowel anastomosis was performed using stapling devices. Operative time was 9 hours with negligible blood loss, and the patient was discharged after 5 days. A cystogram at 10 days demonstrated patent anastomoses without extravasation. The patient continues to do well 48 months later. Robot-assisted laparoscopic ileal ureter replacement is feasible with excellent long-term outcome.

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Accession: 055591810

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PMID: 18765059

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