کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6167071 | 1250309 | 2015 | 5 صفحه PDF | دانلود رایگان |
ObjectiveTo describe the technique of robotic buccal mucosa graft ureteroplasty as a minimally invasive alternative method of ureteral reconstruction for proximal or multifocal ureteral strictures not amenable to primary anastomosis.MethodsBetween October 2013 and May 2014, we performed robotic-assisted ureteral reconstruction using buccal mucosa grafts in four patients (mean age 41.5, range 23-67). The indication for surgery was a proximal or multifocal stricture not amenable to ureteroureterostomy or ureteropyelostomy. Buccal mucosa grafts were harvested to be the length of the strictured segment and 1Â cm in width and placed in the ureter as an anterior or posterior onlay. Follow up was performed with diuretic renogram at least 3Â months postoperatively and renal ultrasound as well as clinical assessment of symptoms.ResultsAll 4 patients underwent successful robotic-assisted reconstruction of the ureter using buccal mucosa graft. There were no intraoperative complications. At a median follow up of 15.5Â months (range 10.7-18.6), there has been 100% success.ConclusionRobotic buccal mucosa graft ureteroplasty is a feasible option for reconstruction of proximal or multifocal ureteral strictures that are not amenable to primary anastomosis and it avoids the morbidity of alternative procedures.
Journal: Urology - Volume 86, Issue 3, September 2015, Pages 634-638