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    Robotic buccal graft placement feasible, reproducible

    Technique an option for treating complex strictures due to nephrolithiasis, trauma

    Lee C. Zhao, MDNew Orleans—An initial assessment of robotic ureteral reconstruction using buccal mucosa graft indicates that it is a feasible and reproducible approach for reconstruction of complex ureteral strictures, reconstructive urologists reported at the AUA annual meeting in New Orleans.

    Related: Costs, complications increased with robotics for adnexal surgery

    Now, larger and longer experience is needed to optimize the technique and to understand the durability of the outcome, said first author Lee C. Zhao, MD, assistant professor of urology, New York University Langone Medical Center, New York.

    “Our goal is to develop a minimally invasive alternative to current techniques for treating long proximal or multifocal ureteral strictures,” he said.

    “As these are rare cases, we hope to enlist other centers to join in our multi-institutional study and establish a registry of how the cases are being performed and the outcomes. With that information, we can hone in on the best technique and factors for recurrence.”

    Dr. Zhao presented data from 12 patients operated on over an 18-month period (October 2013 to April 2015) at his institution, Tulane University School of Medicine in New Orleans, and Temple University School of Medicine in Philadelphia. The indications for ureteral reconstruction were a proximal or multifocal stricture not amenable to ureteroureterostomy or pyeloplasty. Stricture length for the cohort ranged from 1.5 to 6 cm (mean, 3.5 cm).

    NEXT: More on robotic ureteral reconstruction

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