V03-03 robotic Extravascular Graft Placement for Nutcracker Syndrome

Abstract

surgery was approximately 7 months. Mean operative time was 173 minutes. Most patients underwent reimplant with no complication. One patient who underwent ureteral reimplant to neobladder with concomitant anterior abdominal wall hernia repair developed a fistula from the ileal-ileal anastomosis to the neobladder. This patient subsequently underwent a successful repair two weeks later with 8 day hospital stay. Mean estimated blood loss was 25 cc, and mean hospital length of stay was 2.2 days. Of note, two of these five patients had undergone prior radiation therapy for prostate cancer and had no associated complications.CONCLUSIONS: Robotic ureteral reimplant in a patient with urinary diversion is a safe and effective treatment for ureteral stricture when performed by an experienced robotic surgeon. Larger studies will be needed to demonstrate the long term safety and efficacy of this repair.