Work

Single-port robotic-assisted ureteral reconstruction for management of strictures after renal transplantation

Year: 2023

Type: article

Abstract: Ureteral strictures are a common and often challenging complication of renal transplantation. The use of single-port (SP) robotic-assisted laparoscopic surgery is a novel approach in the management of these patients. Here we describe 3 patients with stricture of the transplant ureter causing hydronephrosis and allograft dysfunction, whose ureteral reconstructions were successfully performed using the SP robotic-assisted laparoscopic approach. Two patients underwent transplant-to-native ureteroureterostomy and 1 patient underwent ureteroneocystostomy. We demonstrate that the use of concurrent ureteroscopy and near-infrared fluorescence enables safe and rapid identification of native and transplant ureters. In addition, side-to-side anastomosis of transplant-to-native ureters allows for preservation of ureteral vasculature. In this limited series, the SP robotic platform demonstrates great promise in simplifying and streamlining our approach to ureteral strictures in this patient population.

Source: American Journal of Transplantation

DOI: 10.1016/j.ajt.2023.06.009

Authors: Bofeng Chen, Ashley V. Alford, Bonnie E. Lonze, Lee C. Zhao

Institutions: NYU Langone Health, New York University

Language: English

Topic: Minimally Invasive Surgical Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,300