Lluís Gausa

European experience of robot-assisted kidney transplantation: minimum of 1-year follow-up

To evaluate functional results, graft survival and late complications in patients who underwent robot‐assisted kidney transplantation (RAKT) and who had a minimum of 1 year of follow‐up data, and to analyse the correlations between surgical data and functional results at a minimum of 1‐year postoperatively and between renal function in the immediate postoperative period and after 1 year.

Quiste prauretral de la glándula de Llitré: un caso excepcional

Resumen es: Objetivo: Describir un caso clinico de un quiste parauretral en un varon, a nivel de uretra peneana subglandar, patologia extremadamente infrecuente. Met...

V10-03 ROBOT ASSISTED BILATERAL URETERAL REIMPLANTATION ON STUDER NEOBLADDER WITH EXPOSURE OF ILIAC ARTERY PROSTHESIS

ureterolysis/omental wrap procedure for presumed retroperitoneal fibrosis after failed medical management. Fibrosis was isolated to the region of a tortuous left iliac artery, which was likely due to trauma from a prior femoral artery catheterization during a cardiac procedure. The ureter was freed of fibrotic attachments and covered with an omental wrap. The patient did well for 1 year, but eventually developed recurrent ureteral obstruction with a 6cm mid/upper ureteral stricture requiring nephrostomy drainage and stent. He elected to undergo BMG ureteroplasty. For both robotic procedures, the patient was positioned in modified lateral decubitus lithotomy position with ports similar to a pyeloplasty. For the ureteroplasty, the mouth was prepped separately for BMG harvest. Ureteroscopy and near-infrared fluorescence were used to define the proximal and distal extent of the stricture. The stricture was measured and the BMG was harvested accordingly. A ureterotomy was made along the length of the stricture over the ureteroscopy. The BMG was sewn to the ureteral edges as an onlay patch. Ureteroscopy was used to confirm patency and a stent was placed. An omental wrap was sutured over the ureter and BMG for blood supply. RESULTS: The patient underwent an uncomplicated ureterolysis procedure with an EBL of 75cc, OR time of 280 minutes, and a hospital stay of 3 days. He is doing well with followup <1 year with no complications or evidence of obstruction. CONCLUSIONS: We describe a case of robotic ureterolysis followed by robotic BMG ureteroplasty in the same patient. Robotic BMG ureteroplasty is an option for patients with long ureteral strictures with proximal extent, and is an alternative to autotransplantation or ileal ureter.