Post-kidney Transplant Robot-assisted Laparoscopic Ureteral (Donor-receiver) Anastomosis for Kidney Graft Reflux or Stricture Disease

Benamran, Daniel; Klein, Jacques-Olivier; Hadaya, Karine; Wirth, Grégory J.; Martin, Pierre‐Yves; Iselin, Christophe

doi:10.1016/j.urology.2017.05.033

Cited by 14 publications

(5 citation statements)

References 20 publications

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“…The authors concluded that a robotic approach to post-transplant ureteral reconstruction was feasible, safe, and efficient, and offers the classical advantages of minimally invasive surgery. 5 To the best of our knowledge, we report the first case of a robotic extravesical transplant ureteral reimplantation for VUR in a pediatric patient. Our patient represents another example demonstrating the benefits of robotic surgery to minimize the morbidity of surgery even in a high-risk population such as pediatric renal transplant recipients.…”

Section: Discussionmentioning

confidence: 89%

Pediatric Robotic Transplant Ureteral Reimplantation for Vesicoureteral Reflux

Corbett

Noh

2020

Journal of Endourology Case Reports

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Background: The first published report of a pediatric robotic extravesical transplant ureteral reimplantation for vesicoureteral reflux (VUR) in a renal allograft is described. Case Presentation: The patient is an 11-year-old Caucasian girl who had acute allograft pyelonephritis and was subsequently found to have dilating VUR. Conclusion: Robotic surgery facilitated an effective nondismembered extravesical reimplant with minimal morbidity.

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Section: Discussionmentioning

confidence: 89%

Pediatric Robotic Transplant Ureteral Reimplantation for Vesicoureteral Reflux

Corbett

Noh

2020

Journal of Endourology Case Reports

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“…In our experience, a retroperitoneal access opening the previous ilioinguinal incision is viable and no intraoperative complications were described. Minimally invasive approaches (laparoscopic, robotic assisted) are emerging, but there are still limited published data [21, 22].…”

Section: Discussionmentioning

confidence: 99%

Ureteral Stenosis and Fistula after Kidney Transplantation

Blanca¹,

Polo²,

Peña-Vallejo³

et al. 2022

Urol Int

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Introduction: Ureteral complications after kidney transplantation are frequent and may have a negative impact on morbidity and graft function. Treatment modalities include conservative, endourological, and surgical techniques, with variable outcomes. The purpose of this study was to report the incidence, characteristics, treatment, and outcomes of ureteral complications at our center. Methods: Retrospective study of kidney transplants performed at our unit between 2015 and 2020, analyzing incidence, characteristics, treatment, and outcomes of ureteral stenoses and fistulas. Results: Of 648 kidney transplants, we present 3.24% stenosis and 2.16% ureteral fistulas, with a mean time from transplantation of 101.4 and 24.4 days, respectively. Primary treatment was open surgical repair in 52.4% stenosis and 100% fistulas, with a success rate of 90.9% and 71.4%, respectively. Anterograde balloon dilatations were performed in 33.3% of stenosis with 40% success. Three patients required surgery as a secondary approach with 100% success. Major complications (Clavien-Dindo III) were observed in 18.5% following surgical repair. After a mean follow-up of 31.1 ± 20.9 months, we observe 88.6% of functioning grafts. We found no significant differences in graft survival between patients with or without ureteral complications (p 0.948). Conclusion: Surgical repair of ureteral complications offers satisfactory results with low associated morbidity. Endourological techniques are less effective and should be reserved for selected cases. With adequate management, there is no impact on graft survival.

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“…For patients with complete ureteral obstruction, severe urinary leakage, or even ureteral necrosis, open surgery is usually the most appropriate option. In addition to the 3 aforementioned surgical methods, other techniques, such as ureteropelvic anastomosis and renal graft lower pole anastomosis with bladder muscle flap grafting (12), can be considered, while the use of da Vinci robots for endoscopic treatment has also been reported in recent years (13,14). Robotic ureteral construction has become a strong option with advantages including decreased blood loss, reducing hospital stay, and postoperative recovery compared to the open approach.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous antegrade urography of the upper urinary tract and retrograde cystography combined with computed tomography imaging in the management of ureteral complications after renal transplantation

et al. 2021

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Background: To investigate the significance of simultaneous urography of the upper and lower urinary tract of transplanted kidneys combined with computed tomography urography (CTU), computed tomography arteriography (CTA), and computed tomography venography imaging in the planning of open surgery performed to treat any ureteral complications of a transplanted kidney. Methods: In all, 24 patients with ureteral complications after renal transplantation were admitted, 12 of whom had renal graft ostomy during open surgery. Simultaneous antegrade urography of the upper urinary tract and retrograde cystography of the transplanted kidneys were performed on the patients. With the use of computed tomography imaging results, surgical planning was carried out.Results: All surgeries were successfully completed according to preoperative planning. Three patients underwent end-to-end anastomosis of the ureter and bladder muscle flap, 8 patients underwent ureterocystostomy, and 1 patient underwent an end-to-end ureteral anastomosis. After the follow-up up to now, all the patients had stable renal function, and no complications such as ureteral stenosis or urine leakage have thus far reoccurred in the transplanted kidneys.Conclusions: When open surgery is required to treat any ureteral complications following renal transplantation, preoperative multiangle imaging can be used to better understand the condition of the transplanted urinary tract and thus aid considerably in surgical planning.

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Post-kidney Transplant Robot-assisted Laparoscopic Ureteral (Donor-receiver) Anastomosis for Kidney Graft Reflux or Stricture Disease

Abstract: word count: 246 wordsManuscript text word count: 2986 words

Cited by 14 publications

References 20 publications

Pediatric Robotic Transplant Ureteral Reimplantation for Vesicoureteral Reflux

Pediatric Robotic Transplant Ureteral Reimplantation for Vesicoureteral Reflux

Ureteral Stenosis and Fistula after Kidney Transplantation

Simultaneous antegrade urography of the upper urinary tract and retrograde cystography combined with computed tomography imaging in the management of ureteral complications after renal transplantation

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