Robotic Ureteral Reconstruction

Urol Clin North Am. 2021 Feb;48(1):91-101. doi: 10.1016/j.ucl.2020.09.001. Epub 2020 Nov 5.

Abstract

Robotically assisted laparoscopic techniques may be used for proximal and distal ureteral strictures. Distal strictures may be approached with ureteroneocystotomy, psoas hitch, and Boari flap. Ureteroureterostomy, buccal mucosa graft ureteroplasty, and appendiceal flap ureteroplasty are viable techniques for strictures anywhere along the ureter. Ileal ureteral substitution is reserved for more extensive disease, and autotransplantation is reserved for salvage situations.

Keywords: Appendiceal flap; Buccal mucosa; Ileal ureter; Retrocaval ureter; Robot; Ureteral reimplant; Ureteral stricture; Ureteroureterostomy.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Constriction, Pathologic / diagnosis
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / surgery*
  • Decision Trees
  • Humans
  • Ileum / transplantation
  • Mouth Mucosa / transplantation
  • Perioperative Care
  • Plastic Surgery Procedures / instrumentation
  • Plastic Surgery Procedures / methods*
  • Replantation
  • Robotic Surgical Procedures / methods*
  • Surgical Flaps
  • Ureter / anatomy & histology
  • Ureter / blood supply
  • Ureter / surgery*
  • Ureteral Obstruction / diagnosis
  • Ureteral Obstruction / etiology
  • Ureteral Obstruction / surgery*
  • Urologic Surgical Procedures / instrumentation
  • Urologic Surgical Procedures / methods*