Robot-assisted laparoscopic ileal ureter.
OBJECTIVE
A patient with a solitary kidney, cysteine stones, and recurrent ureteral strictures underwent robot-assisted laparoscopic ureterectomy with ileal ureter formation.


METHODS
Using a transperitoneal, 4-port robotic approach, we removed the strictured ureter and created an ileal ureter. The ileal-pyelo and ileal-vesical anastomoses were performed using the robotic system. An extracorporeal bowel anastomosis was performed using stapling devices. Operative time was 9 hours with negligible blood loss, and the patient was discharged after 5 days.


RESULTS
A cystogram at 10 days demonstrated patent anastomoses without extravasation. The patient continues to do well 48 months later.


CONCLUSIONS
Robot-assisted laparoscopic ileal ureter replacement is feasible with excellent long-term outcome.
Wagner
Joseph R
JR
Department of Urology, Hartford Hospital/University of Connecticut, Hartford, Connecticut, USA.
Schimpf
Megan O
MO
Cohen
Jeffrey L
JL