Robotic-assisted ureteral reimplantation with Boari flap and psoas hitch: a single-institution experience

J Laparoendosc Adv Surg Tech A. 2011 Nov;21(9):829-33. doi: 10.1089/lap.2011.0028. Epub 2011 Aug 22.

Abstract

Robotic-assisted ureteral reimplantations were performed on 3 patients at a single institution, 2 with Boari flap and psoas hitch and 1 with psoas hitch alone. These were for urothelial carcinoma of the distal ureter, ureteral obstruction caused by distal ureteral endometriosis, and ureteral transaction during gynecologic surgery. We used intraoperative ureteroscopy to confirm tumor margins as well as a simple technique for retrograde placement of transvesicle wire prior to ureteral anastomosis. Surgery and recovery were uneventful. This illustrates that robotic-assisted ureteral reimplantation with Boari flap and psoas hitch is a safe and viable approach for ureterovesicle reconstruction.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Endometriosis / complications
  • Female
  • Free Tissue Flaps*
  • Humans
  • Iatrogenic Disease
  • Intraoperative Period
  • Male
  • Psoas Muscles / surgery
  • Replantation / methods*
  • Robotics*
  • Ureter / injuries
  • Ureter / surgery*
  • Ureteral Diseases / complications
  • Ureteral Neoplasms / surgery
  • Ureteral Obstruction / etiology
  • Ureteral Obstruction / surgery
  • Ureteroscopy
  • Urothelium