ArticleBMC surgery2022
Robot-assisted laparoscopic ileal ureter replacement with extracorporeal ileal segment preparation for long ureteral strictures: a case series.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 14 citations in OpenAlex.
- Endoscopic treatment strategies for ureteral stricture in patient with single kidney: triple-stent and metal ureteral stent.World journal of urology · 2026Observational
- Ileal ureteral replacement for tuberculous ureteral strictures: 11 cases of experience.International urology and nephrology · 2026Article
- Global research trends and thematic evolution in robot-assisted ureteral reconstructive surgery: a bibliometric and visualisation study.Journal of robotic surgery · 2026Article
- Comparison of open, laparoscopic, and robot-assisted ileal ureter replacement for long ureteral strictures: a multi-institutional bidirectional cohort study.World journal of urology · 2026Article
- Health-related Quality of Life in Patients Undergoing Ileal Ureter Replacement for Extensive Ureteral Stricture: A Prospective Multi-institutional Study.European urology open science · 2026Article
- Ureteral stricture: current treatment algorithm and key surgical principles in the robotic upper urinary tract reconstruction era.World journal of urology · 2026Review
- Robotic appendiceal onlay flap ureteroplasty combined with Boari flap-psoas hitch ureteroneocystostomy for repair of the 20 cm ureteral avulsion: initial experience and case report.Translational andrology and urology · 2025Article
- Long-term outcomes of Allium ureteral stent as a treatment for ureteral obstruction.Scientific reports · 2024Article
- Minimal-invasive ileal ureter replacement for the management of multiple ureteral polyps: the initial experience.International urology and nephrology · 2024Article
- Laparoscopic continent cutaneous urinary diversion using a modified Yang-Monti technique in an adult: A case report including 5-year follow-up.Current urology · 2024Article
- [Update on ureteral reconstruction 2024].Urologie (Heidelberg, Germany) · 2024Review
- Advancements in minimally invasive bilateral ileal ureter replacement: a promising approach for complex long-segment ureteric strictures.Translational andrology and urology · 2023Article
- Robotic reconstruction for benign upper urinary tract obstruction: a review of the current literature.Therapeutic advances in urologyReview
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Authors and funding
13 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComplete intracorporal robotic ileal ureteric replacement is challenging. We aimed to present the surgical technique of robotic ileal ureter replacement with extracorporeal ileal segment preparation for long ureteral strictures.
methodsFrom March 2019 to March 2021, 18 patients underwent robotic ileal ureter replacement with extracorporeal ileal segment preparation by one experienced surgeon. The demographic, perioperative, and follow-up data were recorded. Success was defined as the resolution of the presenting symptom, a stable estimated glomerular filtration rate and unobstructive drainage on imaging examination.
resultsAll 18 surgeries were successfully completed without conversion. The median length of the intestinal tube used was 20 (12-30) cm. The median operative time was 248 (170-450) min, the median estimated blood loss was 50 (10-200) ml, and the median postoperative hospital stay was 7 (5-27) days. At a median follow-up of 16 (13-28) months, all patients were symptom-free. No or mild hydronephrosis was confirmed in 17 patients; 1 patient had moderate hydronephrosis without peristalsis of the ileal ureter. The renal function was stable in all patients. The overall success rate was 100%. Postoperative complications, including 4 cases of urinary infections (Grade I), 1 case of an incision hernia (Grade I), 4 cases of kidney stone formation (Grade I), 6 cases of metabolic acidosis (Grade I), 4 cases of incomplete ileus (Grade II), and 1 case of an incision infection (Grade IIIb).
conclusionsRobot-assisted laparoscopic ileal ureter replacement with extracorporeal ileal segment preparation is safe, feasible, and effective for the treatment of long ureteral strictures, especially in high-volume tertiary referral centers with extensive robotic surgery experience capable of managing severe peri-operative complications.
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