Robot-Assisted Ureteral Reconstruction
This chapter describes reconstructive robotic surgical techniques for the treatment of ureteral pathology. Included are descriptions of ureterolysis with omental wrapping, ureterocalicostomy, ureteroureterostomy, and ureteral reimplantation. Robotic pyeloplasty will be discussed in a separate chapter.Robotics is particularly suited for surgery of ureteral pathology because this often entails delicate, sharp dissection in areas that are adjacent to major anatomic structures. By offering a three-dimensional, magnified view of the surgical field and allowing for seven degrees of freedom with 90° of instrument angulation, robotic surgical systems allow surgical maneuvers to be performed with extreme control and visualization. While the basic tenets of open surgical techniques are followed during robotic surgery, the drawbacks of morbid large incisions and the subsequent pronged postoperative recovery are avoided.
KeywordsIntuitive Surgical Robotic Prostatectomy Polyglactin Suture Console Surgeon Ureteral Stent Placement
Video 14.1 Upper tract urothelial carcinoma robotic management (125 MB)