Case report: robot-assisted laparoscopic pyeloureterostomy in a transplanted kidney with ureteral stricture.
Ureteral obstruction secondary to ischemia is the most common urologic complication of kidney transplantation. Although endoscopic management has shown satisfactory short-term success rates, surgical repair is considered the definitive therapy. To our knowledge, this procedure has been performed only through open surgery. We present a minimally invasive approach for reconstruction of a ureteral stricture in a renal transplant patient using the Da Vinci robotic system.
Orvieto
Marcelo A
MA
Section of Urology, University of Chicago, Pritzker School of Medicine, Chicago, Illinois 60637, USA. marceloorvieto@yahoo.com
Chien
Gary W
GW
Shalhav
Arieh L
AL
Tolhurst
Stephen R
SR
Rapp
David E
DE
Galocy
R Matthew
RM
Harland
Robert C
RC
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000601:surgery; D007668:Kidney / Q000098:blood supply / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects*; D010535:Laparoscopy / Q000379:methods*; D012371:Robotics; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014519:Ureterostomy / Q000379:methods*; D014567:Urography