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Revista chilena de cirugía

versión On-line ISSN 0718-4026


CASTILLO C, OCTAVIO A et al. Radical distal ureterectomy secondary to an urotelial cancer and ureteral reconstruction robot-assisted. Case report. Rev Chil Cir [online]. 2011, vol.63, n.4, pp. 411-414. ISSN 0718-4026.

Objective: To report a case of distal ureterectomy with robotic-assisted laparoscopic reimplantation using a Boari flap technique. Material and Methods: We report a 55 year old man with a diagnosis of distal ureteral urothelial carcinoma without multifocality. Results: A radical distal ureterectomy and robotic-assisted laparoscopic vesicoureteral reimplantation using a Boari flap technique was performed with the da Vinci S-HD surgical system. The operative time was 210 minutes, the estimated blood loss was 200 mL. The hospital stay was 48 hours, without perioperative complications. The histopathological study showed a high grade non-muscle invasive urothelial carcinoma of the distal ureter (pT1NxMx) with negative margins. Conclusions: The distal radical ureterectomy with Boari replacement is feasible and more precise with robotic assistance. Its oncological role must be demostrated with a larger number of cases.

Palabras clave : Urotelial carcinoma; ureteral tumor; ureterectomy; Boari flap; ureteroneocystostomy; robotic surgery.

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