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. http://dx.doi.org/10.4067/S0718-40262011000400013.
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 llave : Urotelial carcinoma; ureteral tumor; ureterectomy; Boari flap; ureteroneocystostomy; robotic surgery.