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| Name | AUA2019 V07-01 Robot assisted laparoscopic extravesical cross-trigonal ureteral re-implantation |
| Video Uploader | Video From AUAUniversity |
| Upload Date | This Video Uploaded At 18-07-2019 20:48:47 |
| Video Discription | AUAUniversity: For more 2019 Surgical Videos, visit: https://auau.auanet.org/node/25250 Amos Neheman* , Jonathan Gal , Leon Chertin , Jaudat Gaber , Stanislav Kocherov , Amnon Zisman , Paul Noh , and Boris Chertin Abstract INTRODUCTION AND OBJECTIVES: In this video we describe a technique of robot assisted extravesical cross-trigonal ureteral re-implantation with intra-corporal tailoring of the ureter. METHODS: We present a multi institutional study of 20 cases, in this video we describe the case of a 1y/o male who was diagnosed with a left mega-ureter prenatally. US scans showed dilation of renal pelvis and ureter (17mm), MAG3 Renal scan indicated 37% function of the left kidney with delayed drainage. The patient was placed in the supine position. A Foley catheter was inserted to allow bladder distention. Peritoneal access is obtained with the open Hasson technique. 12mm camera port at the umbilicus, 2 robotic 8mm ports and an assistant 5-10mm ports were placed under vision. The distal ureter was identified and dissected distally to the bladder were it is ligated and transected. Ureteral tailoring was performed over a 7FR UK and sutured with a 3-0 V-Loc™. A transverse trough of 4-5cm is created. Emphasis is made to dissect the detrusor to facilitate a tension free closure over the ureter. Bladder mucosa Is opened and uretero-vesical anastomosis is performed with interrupted 5-0 PDS sutures over DJ stent. Detrusor tunnel is closed incorporating the ureter between the mucosa and the detrusor. Water tight closer is verified. RESULTS: Console time was 180 min. Patient was discharged on POD1, DJ stent was removed 4 weeks post operatively. Imaging showed improvement in hydronephrosis and renal drainage. CONCLUSIONS: Robot assisted cross-trigonal ureteral re-implantation with intracorporeal tailoring is safe feasible and reproducible. Source of Funding: None |
| Category | Education |
| Tags | AUA | Urology | Urologic | Urological | Surgical | Surgery | Robot assisted | laparoscopic | extravesical | cross-trigonal | ureteral re-implantation | intra-corporal tailoring | ureter | AUAU | AUAUniversity | AUA University | American Urological Association | AUA2019 V07-01 Robot assisted laparoscopic extravesical cross-trigonal ureteral re-implantation | Robot assisted laparoscopic extravesical cross-trigonal ureteral re-implantation | urology surgery video | urology education |
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