Robot-Assisted Laparoscopic Ureteral Reimplantation: Our Technique and Outcomes

Abstract

Abstract Introduction: Robotic assistance has facilitated the performance of many complex reconstructive procedures previously relegated to an open approach with numerous reported advantages. Distal ureteral reconstruction and reimplantation is one such procedure often performed laparoscopically with robotic assistance using the da Vinci robotic surgical system. We evaluated perioperative and long-term outcomes among patients who underwent treatment with robot-assisted laparoscopic ureteral reimplantation (RALUR) at a single center. Materials and Methods: Patients who underwent RALUR between July 2006 and October 2012 were identified. In all procedures, the distal ureter was spatulated for 1.5 cm. An ~1 cm cystotomy was created. The ureterovesical anastomosis was completed in a triangular manner, including two arms of 4-0 polydioxanone suture up the sides of the spatulation and a third arm anteriorly following stent placement to form a widely patent refluxing anastomosis. All procedures were performed at ...