URETEROSCOPICALLY ASSISTED LAPAROSCOPIC SEGMENTAL URETERECTOMY WITH PSOAS HITCH PROCEDURE

2008 ◽  
Vol 7 (3) ◽  
pp. 331
Author(s):  
U Nagele ◽  
H Sherif ◽  
AS Merseburger ◽  
W Sturm ◽  
KD Sievert ◽  
...  
Keyword(s):  
Psoas Hitch ◽  
Segmental Ureterectomy

scholarly journals Robot-assisted segmental ureterectomy with psoas hitch ureteral reimplantation: Oncological, functional and perioperative outcomes of case series of a single centre

2021 ◽  
Vol 93 (1) ◽  
pp. 101-106
Author(s):  
Erika Palagonia ◽  
Simone Scarcella ◽  
Lucio Dell'Atti ◽  
Giulio Milanese ◽  
Peter Schatteman ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Perioperative Outcomes ◽  
Conventional Imaging ◽  
Ureteral Reimplantation ◽  
Single Centre ◽  
Robot Assisted ◽  
Average Hospital ◽  
Psoas Hitch ◽  
Segmental Ureterectomy

Introduction: According to the Urology guidelines, in selected cases of distal upper tract urothelial carcinoma (UTUC) segmental ureterectomy (SU) can be offered. There is no consensus in the surgical technique of preference. Robot-assisted SU could be an option to overcome all the limitations of open and laparoscopic techniques. We describe our first experience of robot assisted SU with psoas hitch ureteral reimplantation (RAPHUR). Materials and methods: 11 patients underwent RAPHUR for distal UTUC between 2013 and 2017 in a single centre. Pre-, intra-, and postoperative outcomes were assessed. Conventional imaging was performed after 1, 3, 6 months and 1 year from surgery as follow up protocol. We retrospectively evaluated the technical feasibility, oncological and functional outcomes. Results: Median age was 71 years (57-91). The median length of the ureteral defect was 23 mm (10-40). Median preoperative creatinine level was 1.22 mg/dl (0.7-1.85) and median eGFR was 57.5 ml/min/1.73m2 (31-80). Five (45.5%) patients were symptomatic and 7 (63.6%) had hydronephrosis. Median operative time was 185 min (120-240), with a median blood loss of 100 ml (50-300). No case required conversion to open surgery. Overall, only 1 (9%) patient developed Clavien Dindo ≥ 3 postoperative complications. Average hospital stay was 7 (2-9) days. Mean postoperative creatinine was 1.05 mg/dl (0.8-1.85) and mean postoperative eGFR was 72 (36-83). During a median follow up time of 25.5 months (12-53), 4 (36.4%) patients experienced recurrence of urothelial cancer at conventional imaging follow up and 2 (18.2%) died due to its progression. Conclusions: In our initial experience RAPHUR can be proposed to selected cases of distal ureteral carcinoma with optimal perioperative and functional outcomes. However, cancer control may be undermined compared to nephroureterectomy. Thus, further prospective studies are needed to confirm our findings.

scholarly journals Comparison of oncologic and functional outcomes between radical nephroureterectomy and segmental ureterectomy for upper urinary tract urothelial carcinoma

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Tae Heon Kim ◽  
Chung Un Lee ◽  
Minyong Kang ◽  
Hwang Gyun Jeon ◽  
Byong Chang Jeong ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urothelial Carcinoma ◽  
Functional Outcomes ◽  
Upper Urinary Tract ◽  
Rank Test ◽  
Radical Nephroureterectomy ◽  
Free Survival ◽  
Significant Difference ◽  
Segmental Ureterectomy ◽  
Urinary Tract Urothelial Carcinoma

AbstractThis study aims to compare oncologic and functional outcomes after radical nephroureterectomy (RNU) and segmental ureterectomy (SU) in patients with upper urinary tract urothelial carcinoma (UTUC). We retrospectively collected data on patients who underwent either RNU or SU of UTUC. Propensity score matching was performed among 394 cases to yield a final cohort of 40 RNU and 40 SU cases. Kaplan–Meier analysis and the log-rank test were used to compare overall survival (OS), cancer-specific survival (CSS), progression-free survival (PFS), and intravesical recurrence-free survival (IVRFS) between the groups. We also compared the change in postoperative estimated glomerular filtration rate (eGFR). There was no significant difference in terms of CSS, PFS, and IVRFS between the RNU and SU groups, but the RNU group had a better OS than the SU group (p = 0.032). Postoperative eGFR was better preserved in the SU group than in the RNU group (p < 0.001). SU provides comparable CSS, PFS, and IVRFS for patients with UTUC compared to RNU, even in patients with advanced-stage and/or high-grade cancer. Further, SU achieves better preservation of renal function.

V957 TECHNIQUE OF ROBOTIC ASSISTED LAPAROSCOPIC DISTAL URETERECTOMY WITH PSOAS HITCH REIMPLANTATION

2010 ◽  
Vol 183 (4S) ◽  
Author(s):  
Christopher Whelan ◽  
Jonathan Eandi ◽  
Timothy Wilson ◽  
Kevin Chan ◽  
Clayton Lau ◽  
...  
Keyword(s):  
Robotic Assisted ◽  
Psoas Hitch ◽  
Distal Ureterectomy

Simplified Politano-Leadbetter’s ureteral reimplantation associated with psoas-hitch technique using a new clamp

Urology ◽  
2002 ◽  
Vol 59 (6) ◽  
pp. 930-931 ◽  
Author(s):  
Salvatore Siracusano ◽  
Giovanni Liguori ◽  
Gianluca d’Aloia ◽  
Carlo Trombetta ◽  
Emanuele Belgrano
Keyword(s):  
Ureteral Reimplantation ◽  
Psoas Hitch

Repair of upper ureteric obstruction with Boari flap and psoas hitch

Urology ◽  
1986 ◽  
Vol 27 (5) ◽  
pp. 451-453 ◽  
Author(s):  
Soman Bhattacharya ◽  
Sheila Overton ◽  
Ron Yang ◽  
Shlomo Raz
Keyword(s):  
Ureteric Obstruction ◽  
Boari Flap ◽  
Psoas Hitch

Psoas hitch and ureteral re-implantation in an augmented bladder with ketamine uropathy: A case report

2017 ◽  
Vol 21 (1) ◽  
pp. 51-53 ◽  
Author(s):  
Nicole Miu-Yee Cheng ◽  
Jeremy Yuen-Chun Teoh ◽  
Chi-Hang Yee ◽  
See-Ming Hou ◽  
Chi-Fai Ng
Keyword(s):  
Case Report ◽  
Psoas Hitch

Management of Ureteral Strictures and Ureteropelvic Junction Obstruction

2019 ◽  
Author(s):  
Sean McAdams ◽  
Haidar Abdul-Muhsin ◽  
Mitchell R. Humphreys
Keyword(s):  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Ureteral Stricture ◽  
Boari Flap ◽  
Ureteral Reconstruction ◽  
Urinary Drainage ◽  
Preserve Renal Function ◽  
Psoas Hitch ◽  
Invasive Management

The goals for management of ureteropelvic junction obstruction (UPJO) and ureteral stricture are to resolve obstruction, restore continuity, and preserve renal function while minimizing morbidity. The management of UPJO can be challenging and represents a spectrum of options that vary in the invasiveness and effective. These options include observation, long-term internal or external urinary drainage, and endoscopic or minimally invasive management. Mismanagement can potentially results in deterioration of loss of kidney function. This chapter discusses the foundations for successful management of UPJO and ureteral strictures. It also highlights the special clinical situations related to this disease entity and discusses the key advances in the field. This review contains 8 figures, 4 tables, and 73 references. Key Words: Boari flap, dismembered pyeloplasty, endopyelotomy, psoas hitch, pyeloplasty, ureteropelvic junction obstruction, ureteral obstruction, ureteral reconstruction, ureteral stricture, uretero-ureterostomy

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