Robot-assisted ureteric reimplantation: Indications, techniques, and outcomes of an effective robotic platform adaptation.

OBJECTIVE

The primary objective of this study was to evaluate the radiological outcomes of robot-assisted ureteric reimplantation. The secondary objectives were to assess the demographics of patients, aetiology of ureteric pathology, length of stay, presence of postoperative lower urinary tract symptoms, and complication rates and to compare these outcomes with those in the current literature.

METHODS

A retrospective multi-centre cohort study was conducted, including all patients undergoing robot-assisted ureteric reimplantation for various indications. Demographic data were collected as well as the aetiology of ureteric pathology, type of surgery, length of stay, and any postoperative complications (Clavien-Dindo grade). The radiological and functional outcomes were also collected.

RESULTS

Thirty-four cases that underwent robot-assisted ureteric reimplantation were reviewed. The mean age was 55 years. Psoas hitch and Boari flap were performed in 20 and eight cases, respectively. The mean length of stay was 5.7 days. The radiological resolution was achieved in 94% of cases. Major complications, defined as Clavien-Dindo grade III or above, occurred in four (12%) cases.

CONCLUSION

Robot-assisted ureteric reimplantation, while relatively novel, has proven to be a viable alternative to traditional open surgery.