MP29-01 MULTI-INSTITUTIONAL STUDY OF ROBOTIC BUCCAL MUCOSA GRAFT URETEROPLASTY: INITAL RESULTS

Abstract

You have accessJournal of UrologyTrauma/Reconstruction: Ureter, Bladder, External Genitalia and Urotrauma II1 Apr 2015MP29-01 MULTI-INSTITUTIONAL STUDY OF ROBOTIC BUCCAL MUCOSA GRAFT URETEROPLASTY: INITAL RESULTS Lee C. Zhao, Yuka Yamaguchi, Darren J. Bryk, Michael M. Maddox, Mary K. Powers, Andrew Harbin, Ziho Lee, Laura Giusto, Benjamin R. Lee, Daniel D. Eun, and Michael D. Stifelman Lee C. ZhaoLee C. Zhao More articles by this author , Yuka YamaguchiYuka Yamaguchi More articles by this author , Darren J. BrykDarren J. Bryk More articles by this author , Michael M. MaddoxMichael M. Maddox More articles by this author , Mary K. PowersMary K. Powers More articles by this author , Andrew HarbinAndrew Harbin More articles by this author , Ziho LeeZiho Lee More articles by this author , Laura GiustoLaura Giusto More articles by this author , Benjamin R. LeeBenjamin R. Lee More articles by this author , Daniel D. EunDaniel D. Eun More articles by this author , and Michael D. StifelmanMichael D. Stifelman More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.604AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Established techniques for treatment of long proximal or multifocal ureteral strictures such as ileal ureter or auto-transplantation have considerable associated morbidity. We previously presented robotic buccal mucosa graft ureteroplasty as an alternative approach to surgically manage complex strictures. We now present the initial results of a multi-institutional study of robotic buccal mucosa graft ureteroplasty. METHODS Between October 2013 and November 2014, robotic assisted ureteral reconstructions using buccal mucosa graft were performed at three institutions in seven patients (mean age 46.3, range 23-67). The indication for surgery was a proximal or multifocal stricture not amenable to ureteroureterostomy or pyeloplasty. RESULTS All seven patients underwent successful robotic assisted reconstruction of the ureter using buccal mucosa graft. There were no intra-operative complications. Mean operative time was 256 minutes (range 192-363) and mean estimated blood loss was 100mLs (range 40-200). Mean length of hospitalization was 2 days (range 1-3). At a median follow up of 158 days (range 11-368) there have been no post-operative complications. Five of the patients underwent retrograde or antegrade pyelogram at 6-7 weeks at the time of their stent removal, which confirmed patent anastomoses. Three patients underwent diuretic renal scans at 3-4 months post-operatively to confirm absence of obstruction. Further imaging is pending on the remaining patients. CONCLUSIONS Robotic buccal mucosa graft is a feasible and reproducible option for reconstruction of complex ureteral strictures. Given the rarity of complex ureteral strictures requiring this type of reconstruction, multi-institutional studies are necessary to further study and optimize the procedure. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e339 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Lee C. Zhao More articles by this author Yuka Yamaguchi More articles by this author Darren J. Bryk More articles by this author Michael M. Maddox More articles by this author Mary K. Powers More articles by this author Andrew Harbin More articles by this author Ziho Lee More articles by this author Laura Giusto More articles by this author Benjamin R. Lee More articles by this author Daniel D. Eun More articles by this author Michael D. Stifelman More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...