Urology video journal最新文献

{"title":"Single port robotic-assisted posterior inlay buccal graft urethroplasty (RPIG) using fascial closure device","authors":"Wattanachai Ratanapornsompong , Sutthirat Sarawong , Jeffery S. Lin , Lee C. Zhao","doi":"10.1016/j.urolvj.2025.100329","DOIUrl":"10.1016/j.urolvj.2025.100329","url":null,"abstract":"","PeriodicalId":92972,"journal":{"name":"Urology video journal","volume":"26 ","pages":"Article 100329"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment algorithm for robotic transplant ureteral stricture repair","authors":"Emily Ji,&nbsp;Jonathan Rosenfeld,&nbsp;Devin Boehm,&nbsp;Rebecca Arteaga,&nbsp;Jaewoo Kim,&nbsp;Aidan Raikar,&nbsp;Ziho Lee","doi":"10.1016/j.urolvj.2025.100327","DOIUrl":"10.1016/j.urolvj.2025.100327","url":null,"abstract":"<div><h3>Objective</h3><div>Surgical repair of transplant ureteral stricture disease can be complex. Patient anatomy and stricture severity can vary widely, thus reconstructive techniques should be catered to individual cases with careful consideration of patient anatomy and stricture characteristics. Here, we describe our treatment algorithm for robotic reconstruction of transplant ureteral strictures.</div></div><div><h3>Patients and surgical procedure</h3><div>In patients with favorable anatomy, where the bladder can be mobilized to healthy ureter or the renal pelvis, our preference is to perform a nontransecting side-to-side anastomosis. Theoretically, a longitudinal ureterotomy should better preserve the fragile ureteral blood supply compared to ureteral transection. This is particularly important in the transplant ureter, where ischemia is often the underlying cause of stricture formation. However, some patients may have a small capacity bladder or fibrosis that prevents sufficient bladder mobilization. In such cases, ureteral transection may be necessary to facilitate additional ureteral mobilization. If the ureteral defect is short, an end-to-end ureterovesical reimplant can be performed. In patients with a longer defect not amenable to a direct reimplant, we perform a Boari flap. In patients where a Boari flap is not advisable, such as in patients with a small bladder capacity or a prior history of pelvic radiation, a transplant to native ureteroureterostomy is another alternative in patients with viable native ureter.</div></div><div><h3>Results</h3><div>From 2021–2024, eight total patients underwent robotic transplant ureteral stricture repair at our institution. Two underwent nontransecting side-to-side neoureterocystostomy, 1 pyelovesicostomy, 1 excision and end-to-end neoureterocystostomy, and 4 Boari flap. Median console time was 139 mins (IQR 109–188), estimated blood loss was 25 ml (IQR 25–100), and length of stay was 1 day (IQR 1–3). There was one major (Clavien ≥ III) complication that was an intensive care unit transfer for hypertensive urgency. At a median follow-up of 13 months (IQR 8.5–17), 100 % of patients were surgically successful.</div></div><div><h3>Conclusion</h3><div>Robotic transplant ureteral stricture repair is a challenging operation. Tailoring reconstructive techniques to patient stricture characteristics in a stepwise fashion allows for a systematic approach that has been associated with excellent outcomes at a median follow-up of 13 months.</div></div>","PeriodicalId":92972,"journal":{"name":"Urology video journal","volume":"25 ","pages":"Article 100327"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic Recto-Prostatic urethral fistula repair after simple prostatectomy","authors":"Jennifer Sykes,&nbsp;Krishna Doppalapudi,&nbsp;Kevin Chua,&nbsp;Brendan Scully,&nbsp;Saum B. Ghodoussipour","doi":"10.1016/j.urolvj.2025.100325","DOIUrl":"10.1016/j.urolvj.2025.100325","url":null,"abstract":"","PeriodicalId":92972,"journal":{"name":"Urology video journal","volume":"25 ","pages":"Article 100325"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RARN and IVC tumor thrombectomy","authors":"Haitao Dai,&nbsp;Changwei Peng","doi":"10.1016/j.urolvj.2024.100312","DOIUrl":"10.1016/j.urolvj.2024.100312","url":null,"abstract":"","PeriodicalId":92972,"journal":{"name":"Urology video journal","volume":"25 ","pages":"Article 100312"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single port robotic transvesical repair of bladder neck contracture","authors":"Courtney Yong,&nbsp;Ethan Ferguson","doi":"10.1016/j.urolvj.2024.100324","DOIUrl":"10.1016/j.urolvj.2024.100324","url":null,"abstract":"<div><h3>Objective</h3><div>The single port robotic transvesical approach has been used for simple and radical prostatectomy. This video shows a single port, transvesical approach to a bladder neck contracture repair.</div></div><div><h3>Patients and surgical procedure</h3><div>The patient is a 66-year-old male with a history of BPH and two prior TURPs. He developed a bladder neck contracture and underwent an incision of the bladder neck. However, his symptoms returned, and he went into retention requiring indwelling catheterization. Cystoscopy showed a short, 16Fr bladder neck contracture. He elected for a robotic bladder neck contracture repair. The repair was performed with the single port robot using the transvesical approach. We made a 3 cm suprapubic incision, accessed the space of Retzius through the midline, filled the bladder, and made a small cystotomy. The access port was placed directly into the bladder. We dissected around the contracture and carried the dissection distally toward the urethra. We excised the contracture at the verumontanum. The urothelium was advanced to the urethra using two running 3–0 stratafix sutures. A catheter was place prior to closure of the bladder and fascia.</div></div><div><h3>Results</h3><div>The procedure time was 106 min with 55 min of console time and little blood loss. Pathology showed urothelium with inflammation and fibrosis. The patient was discharged with an indwelling catheter, which was removed on postoperative day 6. The patient was able to void to completion. At one month follow up, he was continent. Cystoscopy showed a patent, healing bladder neck and healing cystotomy closure. At around 9 months follow up, the patient was voiding well with Qmax 17.3 ml/s and PVR 3 ml. He has urinary frequency and urgency managed with oral medications.</div></div><div><h3>Conclusions</h3><div>The transvesical single port robotic approach is a minimally invasive option for repair of bladder neck contracture. While this patient had a short stricture, longer or denser strictures may require more complex reconstruction such as Y-V-plasty or even prostatectomy. However, the single port robot would also facilitate these intraoperative adjustments.</div></div>","PeriodicalId":92972,"journal":{"name":"Urology video journal","volume":"25 ","pages":"Article 100324"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Horseshoe kidney robotic-assisted partial nephrectomy","authors":"D. Kovács,&nbsp;P. Tenke,&nbsp;B. Kovács","doi":"10.1016/j.urolvj.2024.100315","DOIUrl":"10.1016/j.urolvj.2024.100315","url":null,"abstract":"<div><h3>Introduction</h3><div>Robot-assisted systems are increasingly used in urology and other surgical specialties. Using surgical robots enable experienced console surgeons to perform more and more complex procedures. Partial nephrectomy in a horseshoe kidney can be demanding due to the kidney's vascular supply and depending on the tumor location, necessitating careful preoperative planning.</div></div><div><h3>Materials &amp; methods</h3><div>The purpose of this video presentation is to provide a step-by-step guide to robotic partial nephrectomy of a horseshoe kidney. Special emphasis is placed on vessel isolation, resection techniques, and the use of hemostatic agents.</div><div>The partial nephrectomy was performed on a Da Vinci X console in a multi-surgeon setting, utilizing four robotic arms and two assistant ports. After mobilizing the descending colon, Gerota's fascia was opened, and the ureter was identified and traced cranially until the renal vein and its branches were reached. All venal branches were isolated for safety and control reasons.</div><div>Following venal retraction, all three supplying arteries were identified and isolated. After a careful evaluation of the exophytic mass, clamping was performed, and resection commenced. Once the correct plane was identified, enucleoresection was performed using clips and monopolar energy on the smaller supplying vessels. After resection, the base was sutured twice with a 3–0 monofilament suture. Following declamping, hemostatic powder and a sponge were applied to the resection area, and the kidney parenchyma was closed with a 2–0 mulfitilament suture. After reconstructing the descending colon and placing a drainage tube, the procedure was completed.</div></div><div><h3>Results</h3><div>The surgical time was 154 min, with a total blood loss of 350 ml. The warm ischemia time was 20 min. Postoperative laboratory tests showed no major changes in kidney function or blood counts. The pathology report confirmed renal cell carcinoma with no tumor presence at the resection margin.</div></div><div><h3>Discussion</h3><div>Our approach emphasizes the advantages of utilizing robotic-assisted surgery for partial nephrectomies in patients with horseshoe kidney. The precise placement of sutures and proper application of hemostatic agents are key factors in ensuring the procedure's success.</div></div><div><h3>Conclusions</h3><div>Robotic partial nephrectomy in horseshoe kidneys can be challenging but offers promising opportunities for managing bleeding and cancer control. Skilled assistance and surgeon experience are highly recommended for complex cases.</div></div>","PeriodicalId":92972,"journal":{"name":"Urology video journal","volume":"25 ","pages":"Article 100315"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-assisted laparoscopic retrocaval tumorectomy of a kidney cancer relapse","authors":"Luca Afferi ,&nbsp;Donato Cannoletta ,&nbsp;Pedro Hernandez ,&nbsp;Alba Farré ,&nbsp;Pietro Diana ,&nbsp;Andrea Gallioli ,&nbsp;Angelo Territo ,&nbsp;Pavel Gavrilov ,&nbsp;Josep Maria Gaya Sopeña ,&nbsp;Joan Palou ,&nbsp;Alberto Breda","doi":"10.1016/j.urolvj.2024.100314","DOIUrl":"10.1016/j.urolvj.2024.100314","url":null,"abstract":"","PeriodicalId":92972,"journal":{"name":"Urology video journal","volume":"25 ","pages":"Article 100314"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Off-clamp robot assisted partial nephrectomy with Hugo RAS system for T2 renal mass","authors":"Francesco Tedesco,&nbsp;Francesco Prata,&nbsp;Angelo Civitella,&nbsp;Marco Fantozzi,&nbsp;Matteo Pira,&nbsp;Roberto Mario Scarpa,&nbsp;Rocco Papalia","doi":"10.1016/j.urolvj.2024.100318","DOIUrl":"10.1016/j.urolvj.2024.100318","url":null,"abstract":"<div><div>Partial nephrectomy is the gold standard for localized renal masses, offering oncological control while preserving renal function. The introduction of robotic platforms has extended the indications for partial nephrectomy to more complex cases, leveraging their precision and enhanced ergonomics. The Hugo™ RAS System is a modular robotic platform with independent arm carts, enabling patient-tailored surgical approaches. However, its application in nephron-sparing surgery remains limited.</div><div>We report the case of a 25-year-old male presenting with a 9.5 cm right renal mass (PADUA score: 11), who underwent robot-assisted partial nephrectomy using the Hugo™ RAS System. To optimize nephron preservation, an off-clamp approach was employed. The procedure was completed successfully without intraoperative complications or system malfunctions. Docking and console times were 3 and 96 minutes, respectively, and estimated blood loss was 350 mL. Postoperative renal function remained comparable to preoperative values. The patient had an uneventful recovery and was discharged on postoperative day 3.</div><div>This case highlights the safety and feasibility of the Hugo™ RAS System for complex, nephron-sparing surgery. The platform's modular design facilitates flexible docking and trocar placement, enabling a customized surgical strategy tailored to the patient's anatomy. In experienced hands, it demonstrates the capability to manage high-complexity renal tumors effectively and the potential of the Hugo™ RAS System as a versatile tool for challenging nephron-sparing surgeries.</div></div>","PeriodicalId":92972,"journal":{"name":"Urology video journal","volume":"25 ","pages":"Article 100318"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clampless and sutureless technique for complex robot assisted partial nephrectomy","authors":"Stefano Resca ,&nbsp;Nicola Frego ,&nbsp;Francesco Barletta ,&nbsp;Alessandro Pissavini ,&nbsp;Andrea Noya Mourullo ,&nbsp;Edward Lambert ,&nbsp;Ruben De Groote ,&nbsp;Geert De Naeyer ,&nbsp;Alexandre Mottrie","doi":"10.1016/j.urolvj.2024.100317","DOIUrl":"10.1016/j.urolvj.2024.100317","url":null,"abstract":"<div><h3>Introduction</h3><div>Robot-assisted partial nephrectomy (RAPN) is currently the gold standard approach for the treatment of renal masses (T1-2N0M0). Many techniques have been developed to perform this procedure maximizing oncological and functional outcomes. In this setting, the clampless approach (enucleation without clamping the renal artery or its branches) together with the sutureless technique are considered to reduce the impact of ischemia on renal parenchyma and thus the impairment of renal function.</div></div><div><h3>Objective</h3><div>To demonstrate the feasibility and safety of performing clampless and sutureless RAPN in several clinical scenarios of increasing complexity.</div></div><div><h3>Methods</h3><div>Three RAPN cases, all done with clampless and sutureless techniques by a single experienced surgeon are considered. The first case was a two centimeters upper polar mass of the right kidney, with a RENAL score of 4. The second was a hilar mass of three centimeters of the right kidney with a RENAL score of 9. In the last case the technique was applied in a patient with Von Hippel Lindau syndrome and eight masses in the right kidney.</div></div><div><h3>Results</h3><div>In all the procedures ischemia time was zero. Mean blood loss was 300 ml (50–650), and the mean operative time was 125 min (80–205). All the patients were discharged on the second post operative day. Mean value of post operative serum creatinine was 0,9 mg/dl. No peri- and post-operative complications were recorded. All three cases were R0 at final pathology.</div></div><div><h3>Conclusion</h3><div>Clampless and sutureless RAPN has proven to be a safe and effective approach to reduce the loss of renal function in nephron sparing surgery, without compromising surgical and oncological outcomes.</div></div>","PeriodicalId":92972,"journal":{"name":"Urology video journal","volume":"25 ","pages":"Article 100317"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mitrofanoff diversion with transvescical bladder neck closure for post-traumatic neurogenic bladder with urinary incontinence: Tips and tricks for the Da Vinci robotic approach","authors":"B. Rocco ,&nbsp;G. Manzoni ,&nbsp;S. Assumma ,&nbsp;E. Panio ,&nbsp;F. Turri ,&nbsp;P. Dell'Orto ,&nbsp;M.C. Sighinolfi","doi":"10.1016/j.urolvj.2024.100313","DOIUrl":"10.1016/j.urolvj.2024.100313","url":null,"abstract":"","PeriodicalId":92972,"journal":{"name":"Urology video journal","volume":"27 ","pages":"Article 100313"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}