Abstract
Robot-assisted ureteral reconstruction can be formed for a wide variety of ureteral pathology. Ureterolysis and omental wrap is performed for retroperitoneal fibrosis. The location and length of ureteral stricture affects the management. Ureteral reimplantation is performed for distal strictures, while ureteroureterostomy is performed for short proximal and mid-ureteral strictures. For proximal strictures with extensive fibrosis, ureterocalicostomy is a good option. For long ureteral strictures, ureteroplasty using buccal mucosa graft can be performed by making an incision on the ureter to open up the stricture, and placing a graft as an onlay, with omentum to support the graft.
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Yamaguchi, Y., Zhao, L.C., Stifelman, M. (2017). Robot-Assisted Ureteral Reconstruction. In: Su, LM. (eds) Atlas of Robotic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-45060-5_13
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DOI: https://doi.org/10.1007/978-3-319-45060-5_13
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