Robotic associated laparoscopic ureterocalicostomy
Robotic associated laparoscopic ureterocalicostomy
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DOI：
10.1016/j.urology.2007.04.024
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发表时间：
2007-08-01
期刊：
影响因子：
2.1
通讯作者：
Stifelman, Michael D.
中科院分区：
文献类型：
--
作者：
Korets, Ruslan;Hyams, Elias S.;Stifelman, Michael D.
引言输尿管肾盂吻合术是一种成熟的治疗方法，适用于患有复发性肾盂输尿管连接部梗阻或近端输尿管狭窄的患者，这些患者在小肾盂或肾内肾盂或显著肾盂周围纤维化的情况下难以进行内窥镜治疗。我们报告的情况下，机器人辅助腹腔镜输尿管肾盏吻合术使用的da芬奇机器人系统在近端输尿管狭窄难治性endoscopicmanagement.Technical注意事项所有技术描述的输尿管肾盏吻合术的日期已经开放或纯粹的腹腔镜。我们报告一例机器人辅助腹腔镜输尿管肾盂吻合术的患者，患有继发于多次结石介入治疗的难治性输尿管近端狭窄。我们使用腹腔镜进行初始解剖和暴露，使用机器人技术进行下极截肢和输尿管肾盏吻合术。术中还通过下极杯进行肾镜检查。患者在术后10周的梗阻与支架和放射学确认的排泄和draining.Conclusions机器人辅助腹腔镜输尿管肾盂吻合术是一种可行的替代开放或腹腔镜技术治疗难治性近端输尿管狭窄或肾盂输尿管连接部梗阻。据我们所知，这是第一例机器人辅助腹腔镜输尿管肾盂吻合术与术中肾镜。
Introduction Ureterocalicostomy is a well-established treatment option for patients with recurrent ureteropelvic junction obstruction or proximal ureteral stricture refractory to endoscopic management in the setting of diminutive or intrarenal pelvis or significant peripelvic fibrosis. We report a case of robotic-assisted laparoscopic ureterocalicostomy using the da Vinci robotic system in a patient with proximal ureteral stricture refractory to endoscopic management.Technical Considerations All techniques described to date for ureterocalicostomy have been either open or purely laparoscopic. We report a case of robotic-assisted laparoscopic ureterocalicostomy in a patient with refractory proximal ureteral stricture secondary to multiple interventions for stones. We used laparoscopy for the initial dissection and exposure and robotic techniques for lower pole amputation and ureterocaliceal anastomosis. Intraoperative nephroscopy was also performed through the lower pole calix. The patient had resolution of the obstruction at 10 weeks postoperatively with the stent out and radiographic confirmation of excretion and drainage.Conclusions Robotic-assisted laparoscopic ureterocalicostomy is a feasible alternative to open or laparoscopic techniques for treating refractory proximal ureteral stricture or ureteropelvic junction obstruction. To our knowledge, this is the first described case of robotic-assisted laparoscopic ureterocalicostomy with intraoperative nephroscopy.