V7-11 PEDIATRIC ROBOT-ASSISTED LAPAROSCOPIC EXCISION OF ECTOPIC DISTAL URETERAL STUMP
| العنوان: | V7-11 PEDIATRIC ROBOT-ASSISTED LAPAROSCOPIC EXCISION OF ECTOPIC DISTAL URETERAL STUMP |
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| المؤلفون: | Richard N. Yu, Evalynn Vasquez, Erin R. McNamara, Stuart B. Bauer, Patricia S. Cho, Michael V. Hollis |
| المصدر: | Journal of Urology. 195 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Retrocaval ureter, medicine.medical_specialty, business.industry, Urology, medicine.medical_treatment, Stent, Dissection (medical), Anastomosis, Laparoscopic excision, medicine.disease, Surgery, Ureter, medicine.anatomical_structure, Ureteral stump, medicine, Operative time, business |
| الوصف: | RESULTS: Surgery was uneventful. Identification of the distal ureter was somewhat challenging, but landmarks, such as the iliac bifurcation allowed for localization. The placement of both robotic ports along the midclavicular line provided maximum access to the distal and proximal segments of the ureter, aiding in our dissection. The ureter was transected proximally and distally to the stenotic segment. The retrocaval portion of the ureter was left in place though in discontinuity. The anastomosis was performed using a 5-0 PDS continuous suture. Operative time was 159 minutes, and EBL was 20mL. A 6x28 JJ internal ureteral stent was left in place for one month. The patient awaits further follow-up. CONCLUSIONS: A robotic-assisted approach to repair of a retrocaval ureter is a safe alternative to the conventional open approach. Identification of the distal ureter can be challenging, but the use of landmarks, such as the iliac bifurcation, as well as selective port placement can assist the dissection. |
| تدمد: | 1527-3792 0022-5347 |
| DOI: | 10.1016/j.juro.2016.02.568 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::96b3d05d4c7af25184696e8b67e62f68 https://doi.org/10.1016/j.juro.2016.02.568 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi...........96b3d05d4c7af25184696e8b67e62f68 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15273792 00225347 |
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| DOI: | 10.1016/j.juro.2016.02.568 |