title: Initial Series of Four-Arm Robotic Completely Intracorporeal Ileal Ureter.
abstract: Ileal ureter formation has been found to be a suitable treatment option for long, chronic ureteral strictures not amendable to less invasive forms of repair. Minimally invasive surgical techniques for this condition have been investigated. We report the first series of robotic completely intracorporeal ileal ureter using a four-arm robotic technique. Three patients underwent this procedure, including one patient with a solitary kidney. All procedures were performed effectively with a median operative time of 450 minutes (range: 420-540) and median estimated blood loss of 100 mL (range: 50-200). Postoperatively, one patient suffered volvulus and subsequent necrosis of small bowel and ileal ureter, which required re-operation and small bowel resection, including the ileal ureter. The other two patients report no surgical complications to date. This early series represents preliminary technical procedure feasibility. Further experience is necessary.
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Sameer
authors: S
authors: Chopra
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Charles
authors: C
authors: Metcalfe
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Raj
authors: R
authors: Satkunasivam
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Shalini
authors: S
authors: Nagaraj
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Carlee
authors: C
authors: Becker
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Andre Luis
authors: AL
authors: de Castro Abreu
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Raed A
authors: RA
authors: Azhar
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Inderbir
authors: I
authors: Gill
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Mihir
authors: M
authors: Desai
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Monish
authors: M
authors: Aron
authors: USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors: Andre
authors: A
authors: Berger
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D003251:Constriction, Pathologic / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D045822:Intestinal Volvulus; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications; D012086:Reoperation; D065287:Robotic Surgical Procedures / Q000379:methods*; D014513:Ureter / Q000601:surgery*; D014516:Ureteral Neoplasms / Q000601:surgery*; D014517:Ureteral Obstruction / Q000601:surgery*