Robot‐assisted Boari flap and psoas hitch ureteral reimplantation: Technique insight and outcomes of a case series with at least 1 year of follow‐up

2021 ◽  
Author(s):  
Paolo Dell’Oglio ◽  
Erika Palagonia ◽  
Pawel Wisz ◽  
Iulia Andras ◽  
Ruben De Groote ◽  
...  
Keyword(s):  
Case Series ◽  
Ureteral Reimplantation ◽  
Robot Assisted ◽  
Boari Flap ◽  
Psoas Hitch

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 Robotic-Assisted Ureteral Reimplantation with Boari Flap and Psoas Hitch: A Single-Institution Experience

2011 ◽  
Vol 21 (9) ◽  
pp. 829-833 ◽  
Author(s):  
Christopher Yang ◽  
Loren Jones ◽  
Marcelino E. Rivera ◽  
Graham T. VerLee ◽  
Leslie A. Deane
Keyword(s):  
Ureteral Reimplantation ◽  
Single Institution ◽  
Robotic Assisted ◽  
Boari Flap ◽  
Psoas Hitch

scholarly journals Ureteral Reimplantation, Psoas Hitch, and Boari Flap

2020 ◽  
Vol 34 (S1) ◽  
pp. S-25-S-30 ◽  
Author(s):  
Christine White ◽  
Michael Stifelman
Keyword(s):  
Ureteral Reimplantation ◽  
Boari Flap ◽  
Psoas Hitch

85 Right robot assisted ureteral reimplantation with psoas hitch

2011 ◽  
Vol 10 (8) ◽  
pp. 562
Author(s):  
O. Schatloff ◽  
S. Chauhan ◽  
A. Sivaraman ◽  
Y.H. Ko ◽  
R. Valero ◽  
...  
Keyword(s):  
Ureteral Reimplantation ◽  
Robot Assisted ◽  
Psoas Hitch

Robot-Assisted Technique for Boari Flap Ureteral Reimplantation: Is Robot Assistance Beneficial?

2014 ◽  
Vol 28 (6) ◽  
pp. 679-685 ◽  
Author(s):  
Minh Do ◽  
Panagiotis Kallidonis ◽  
Hasan Qazi ◽  
Evangelos Liatsikos ◽  
Phuc Ho Thi ◽  
...  
Keyword(s):  
Ureteral Reimplantation ◽  
Robot Assisted ◽  
Boari Flap ◽  
Robot Assistance

Case Report: Pure Robot-Assisted Psoas Hitch Ureteral Reimplantation for Distal-Ureteral Stenosis

2007 ◽  
Vol 21 (6) ◽  
pp. 618-620 ◽  
Author(s):  
Geert De Naeyer ◽  
Peter Van Migem ◽  
Peter Schatteman ◽  
Paul Carpentier ◽  
Etienne Fonteyne ◽  
...  
Keyword(s):  
Case Report ◽  
Ureteral Reimplantation ◽  
Robot Assisted ◽  
Ureteral Stenosis ◽  
Psoas Hitch

Case Report: Robot-Assisted Laparoscopic Boari Flap Ureteral Reimplantation

2008 ◽  
Vol 22 (12) ◽  
pp. 2691-2694 ◽  
Author(s):  
Megan O. Schimpf ◽  
Joseph R. Wagner
Keyword(s):  
Case Report ◽  
Ureteral Reimplantation ◽  
Robot Assisted ◽  
Boari Flap

Robot-assisted Boari flap ureteral reimplantation: Step by step

2017 ◽  
Vol 16 (6) ◽  
pp. e2395
Author(s):  
R. De Groote ◽  
M. Goossens ◽  
V. De Coninck ◽  
A. Larcher ◽  
G. De Naeyer ◽  
...  
Keyword(s):  
Ureteral Reimplantation ◽  
Robot Assisted ◽  
Boari Flap

scholarly journals Laparoscopic ureteral reimplantation with Boari flap for the management of long- segment ureteral defect: A case series with review of the literature

2017 ◽  
Vol 43 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Ankur Bansal ◽  
Rahul Janak Sinha ◽  
Ankur Jhanwar ◽  
Gaurav Prakash ◽  
Bimalesh Purkait ◽  
...  
Keyword(s):  
Case Series ◽  
Ureteral Reimplantation ◽  
Review Of The Literature ◽  
Boari Flap
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