Ziho Lee, MD, presented “Tips and Tricks for Robotic Lleal Ureter” during the 1st International Functional and Reconstructive Urology Update on August 30, 2024, in Denver, Colorado.
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How to cite: Lee, Ziho. “Tips and Tricks for Robotic Lleal Ureter.” August 30, 2024. Accessed Dec 2024. https://grandroundsinurology.com/tips-and-tricks-for-robotic-lleal-ureter/
Tips and Tricks for Robotic Lleal Ureter – Summary
Ziho Lee, MD, provides insights into robotic ileal ureter reconstruction, offering practical strategies for optimizing outcomes.
In this 10-minute presentation, Dr. Lee uses photos and procedure videos to outline an effective surgical strategy, starting with proximal ureter dissection to assess feasibility, followed by bowel harvest, bladder preparation, and distal anastomosis. Proper exposure is stressed as critical to ensure the best outcomes. Port placement strategies are discussed, including single setup configurations and rotating the robotic boom for upper tract access. Various tunneling techniques are detailed, including creating a mesenteric window to reduce strain and ensure smooth passage of the ileal segment.
The presentation concludes by emphasizing the importance of meticulous technique and thorough planning, especially for patients with complex histories, including prior pelvic radiation. While the indications for ileal ureter replacement are decreasing, it remains a vital tool for urologists. With careful patient selection and precise execution, surgical success rates can reach 90%, minimizing the need for future interventions.
About The 1st International Functional and Reconstructive Urology Update (IFRUU)
The International Functional and Reconstructive Urology Update is a multi-day meeting focused on functional and reconstructive urology (FRU). FRU is a rapidly expanding subspecialty with the vision to improve the lives of all patients with urinary disorders. The IFRUU conference aims to equip practitioners with the tools to manage patients with functional urologic disorders effectively. The inaugural IFRUU conference took place from August 28-30, 2024 in Denver, Colorado.
For further educational activities from this conference, visit our collection page.