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| Robotic distal ureterectomy with psoas hitch and ureteroneocystotomy: Surgical technique and outcomes |
| Joseph Pugh, Amy Farkas, Li-Ming Su
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| Department of Urology, University of Florida, Gainesville, FL, USA |
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Abstract Use of the da Vinci surgical robotic system has expanded to numerous upper and lower urinary tract procedures. We describe our surgical technique and perioperative outcome of robotic distal ureterectomy with psoas hitch and ureteroneocystostomy for distal ureteral pathologies. Eight patients with a median age of 69.5 years old underwent robotic distal ureterectomy with psoas hitch and ureteroneocystostomy between April 2009 and August 2014. The entirety of all cases was performed robotically by a single surgeon at a tertiary academic medical center. Median operative time was 285 min (range: 210e360 min), estimated blood loss was 50 mL (range: 50e75 mL) and median length of hospital stay was 2.5 days (range: 1e6 days). There was one post-operative complication, a readmission for dehydration (Clavien I). It suggests that robotic distal ureterectomy with psoas hitch and ureteroneocystostomy is a safe and effective minimally invasive alternative for patients with distal ureteral pathology.
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Published: 30 April 2015
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Corresponding Authors:
Li-Ming Su，
E-mail: sulm@urology.ufl.edu
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