title: Robotic-assisted ureteral reimplantation with Boari flap and psoas hitch: a single-institution experience.
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.
authors.affiliation: Department of Urology, University of Illinois at Chicago, Chicago, Illinois 60612, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Yang
authors.forename: Loren
authors.initials: L
authors.lastname: Jones
authors.forename: Marcelino E
authors.initials: ME
authors.lastname: Rivera
authors.forename: Graham T
authors.initials: GT
authors.lastname: Verlee
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Deane
mesh_terms: D000328:Adult; D000368:Aged; D004715:Endometriosis / Q000150:complications; D005260:Female; D058752:Free Tissue Flaps; D006801:Humans; D007049:Iatrogenic Disease; D007432:Intraoperative Period; D008297:Male; D016658:Psoas Muscles / Q000601:surgery; D012092:Replantation / Q000379:methods*; D012371:Robotics; D014513:Ureter / Q000293:injuries / Q000601:surgery*; D014515:Ureteral Diseases / Q000150:complications; D014516:Ureteral Neoplasms / Q000601:surgery; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery; D018666:Ureteroscopy; D019459:Urothelium