title: Robot-assisted laparoscopic ileal ureter.
abstract: 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.
authors.affiliation: Department of Urology, Hartford Hospital/University of Connecticut, Hartford, Connecticut, USA.
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Wagner
authors.forename: Megan O
authors.initials: MO
authors.lastname: Schimpf
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Cohen