Robotic versus open distal ureteral reconstruction and reimplantation for benign stricture disease.

Four neocystostomies, four psoas hitches, and two Boari flaps were performed in the RAUR group. Estimated blood loss 30.6 vs 327.5 mL, P=0.001 and length of hospital stay 2.4 vs 5.1 d, P=0.01 were significantly reduced in the robotic group. Median BMI 29.4±5.3 vs 26.5±5.2, P=0.130 and operative time in minutes 306.6 vs 270.0 min, P=0.316 were higher in the robotic group, although these were not statistically significant.

via Robotic versus open distal ureteral reconstruction and reimplantation for benign stricture disease.

This article reports on 10 robotic ureteral reimplants.  I have performed several of these with similar results.  Patients tend to recover faster and go home from the hospital sooner.  The connection between the ureter and bladder is magnified, so the robotic approach is easier than the open approach for this part.

I have performed this operation for ureteral cancer in the distal ureter as well.

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