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2015 ; 9
(9-10
): E748-9
Nephropedia Template TP
Can Urol Assoc J
2015[Sep]; 9
(9-10
): E748-9
PMID26664514
show ga
Renal auto-transplantation (RATx) is a suitable option for managing patients with
long upper ureteric or pan-ureteric strictures. The current gold standard
approach to RATx is a laparoscopic nephrectomy followed by open
auto-transplantation. The advent of robotic-assisted laparoscopic surgery has
allowed us to apply minimally-invasive techniques to ever-more complex surgical
procedures. We present the case of a 38-year-old patient referred to our
institution for management of a failed laparoscopic pyeloplasty resulting in a
long upper ureteric stricture with complete ureteric obstruction. After complete
evaluation, RATx was determined as a suitable management option. Completely
intracorporeal right RATx was performed robotically with intraperitoneal cold
perfusion. Total operative time was 6.5 hours, with total ischemia time of only
79 minutes (4 minutes warm ischemia, 48 minutes cold ischemia, 27 minutes
re-warming time), comparable to the gold standard approach for RATx. To our
knowledge, this is the first reported case of a completely intracorporeal robotic
RATx in Canada.
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