Feasibility of Intracorporeal Robotic-Assisted Laparoscopic Appendiceal Interposition for Ureteral Stricture Disease: A Case Report

To describe a robotic-assisted laparoscopic (RAL) technique for using the appendix to repair ureteral stricture disease A case of a patient presenting with a 5-cm obliterative right ureteral stricture was reviewed, and surgical technique, complications, and outcomes were reported. Our patient develo...

Full description

Saved in:
Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2017-11, Vol.109, p.201-205
Main Authors: Yarlagadda, Vidhush K., Nix, Jeffrey W., Benson, Daniel G., Selph, J. Patrick
Format: Article
Language:English
Subjects:
Adult
Appendix - surgery
Constriction, Pathologic - surgery
Feasibility Studies
Humans
Laparoscopy - methods
Male
Robotic Surgical Procedures
Ureteral Obstruction - surgery
Urologic Surgical Procedures, Male - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To describe a robotic-assisted laparoscopic (RAL) technique for using the appendix to repair ureteral stricture disease A case of a patient presenting with a 5-cm obliterative right ureteral stricture was reviewed, and surgical technique, complications, and outcomes were reported. Our patient developed a right-sided 5-cm obliterative ureteral stricture secondary to recurrent stone disease and pyelonephritis. He underwent an uncomplicated RAL repair of his stricture with interposition of the appendix between the 2 segments of ureter. Operative time was just over 6 hours, blood loss was minimal, and there were no complications. A 10-month follow-up showed resolution of hydronephrosis with no flank pain. We report our initial experience with this procedure and believe that RAL appendiceal interposition for ureteral stricture disease presents an excellent option for reconstruction.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2017.08.017