Robot-Assisted Laparoscopic Distal Ureterectomy and Ureteral Reimplantation.
10.4111/kju.2009.50.9.921
- Author:
Sung Gu KANG
1
;
Hoon CHOI
;
Young Hwii KO
;
Bum Sik TAE
;
Seok CHO
;
Hong Jae AHN
;
Ji Yun CHAE
;
Seok Ho KANG
;
Jun CHEON
Author Information
1. Department of Urology, Korea University School of Medicine, Seoul, Korea. mdksh@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Robotics;
Carcinoma;
Transitional cell;
Ureter
- MeSH:
Aged;
Carcinoma, Transitional Cell;
Conversion to Open Surgery;
Humans;
Male;
Operative Time;
Replantation;
Robotics;
Ureter;
Urinary Bladder
- From:Korean Journal of Urology
2009;50(9):921-924
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report here on our technique and outcomes of the first case of robot-assisted laparoscopic distal ureterectomy with a bladder cuff excision and ureteroneocystostomy. A 74-year-old male patient who had a distal ureter tumor underwent robot-assisted transperitoneal distal ureterectomy. After distal ureterectomy with bladder cuff excision was performed, direct ureteroneocystostomy was performed. The whole procedure was successfully performed by using the robot without conversion to open surgery. The total operative time was 207 minutes, and the estimated blood loss was 30 ml. The final pathological examination showed stage T2 invasive transitional cell carcinoma of the distal ureter. The patient's postoperative recovery was uneventful and the bladder cuff was free of tumor. Robot-assisted laparoscopic distal ureterectomy with ureteroneocystostomy is safe and feasible and offers patients the advantages of minimally invasive surgery.