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Robot-Assisted Ureteral Reconstruction

  • Patrick MufarrijEmail author
  • Elias Hyams
  • Michael Stifelman
Chapter
Part of the Current Clinical Urology book series (CCU)

Abstract

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.

Keywords

Intuitive Surgical Robotic Prostatectomy Polyglactin Suture Console Surgeon Ureteral Stent Placement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 14.1 Upper tract urothelial carcinoma robotic management (125 MB)

Reference

  1. 1.
    Wong C, Leveillee RJ (2002) Hand-assisted laparoscopic nephroureterectomy with cystoscopic en bloc excision of the distal ureter and bladder cuff. J Endourol 16:329–332PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Patrick Mufarrij
    • 1
    Email author
  • Elias Hyams
  • Michael Stifelman
  1. 1.Department of Urology, Tisch Hospital ServiceRobotic Surgery Center, NYU Langone Medical Center Chief of ServiceNew YorkUSA

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