Posts made in January, 2017

Robotic Assisted Radical Cystoprostatectomy and Intracorporeal Ileal Conduit Urinary Diversion for a Kidney Transplant Recipient

Vol. 43 (x): 2017 January 1.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2016.0227


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Peter A. Caputo 1, Daniel Ramirez 1, Matthew Maurice 1, Ryan Nelson 1, Onder Kara 1, Ercan Malkoc 1, David Goldfarb 1, Jihad Kaouk

1 Departament of Urology Cleveland Clinic, Cleveland, Ohio, United States

ABSTRACT

Introduction and Objectives: Robotic assisted radical cystectomy (RARC) is an alternative to open radical cystectomy. As experience is gained with the RARC approach the technique is being applied to more complex surgical cases. We describe here our technique for RARC with intracorporeal ileal conduit urinary diversion for a renal transplant recipient.

Materials and Methods: The patient is a 60-year old man with high-grade muscle invasive bladder cancer.  He has a history of renal failure due to polycystic kidney disease and received a deceased donor renal transplant in 2008. His hospital course at time of transplant was complicated by low-level BK virus viremia. Interestingly his trans-urethral bladder tumor resection specimen at time of bladder cancer diagnosis stained positive for SV40.  His native kidneys were anuric so bilateral laparoscopic nephrectomy was performed in a staged fashion 2 weeks prior to RARC.  Our surgical technique utilizes 6 trocars, of note a 12-mm assistant trocar is placed 1 cm superior to the pubic symphysis, and this trocar is solely used to pass a laparoscopic stapler to facilitate the excision of the ileal segment and the stapled enteric anastomosis. Surgical steps include: identification of native ureters bilaterally (removed en bloc with the bladder specimen); identification of the transplanted ureter at the right bladder dome; posterior bladder and prostate dissection along Denonvilliers’ fascia; development of the...

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Megalourethra and urethrorectal fistula: a rare presentation and a challenging reconstruction

Vol. 43 (1): 172-173, January – February, 2017

doi: 10.1590/S1677-5538.IBJU.2015.0676


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Antonio Macedo Jr. 1, Sérgio Leite Ottoni 1, João Luiz Gomes Parizi 1, Gustavo Marconi Caetano Martins 1, Gilmar Garrone 1, Marcela Leal da Cruz 1

1 Universidade Federal de São Paulo, SP, Brasil

 

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Robot – assisted laparoscopic retroperitoneal lymph node dissection in testicular tumor

Vol. 43 (1): 171-171, January – February, 2017

10.1590/S1677-5538.IBJU.2015.0436


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Fabio C. M. Torricelli 1, Denis Jardim 2, Giuliano B. Guglielmetti 2, Vipul Patel 3, Rafael F. Coelho 2

1 Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brasil; 2 Instituto do Câncer do Estado de São Paulo (ICESP), SP, Brasil; 3 Global Robotics Institute, Orlando, Florida, EUA

 

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Laparoscopic cystoprostatectomy for bladder cancer in a male patient combined with open ileal conduit urinary diversion

Vol. 43 (1): 169-170, January – February, 2017

doi: 10.1590/S1677-5538.IBJU.2014.0632


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Rafael P. Arruda 1, Mirandolino B. Mariano 1, Clovis Fraga T. Pereira 1, Guilherme C. Lima 1, Thiago N. Lessa 1, Moacir C. de A. Neto 1

1 Departamento de Urologia, Instituto de Medicina Integral Prof. Fernando Figueira – IMIP, Recife – PE, Brasil

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Urologic surgery laparoscopic access: vascular complications

Vol. 43 (1): 166-166, January – February, 2017

doi: 10.1590/S1677-5538.IBJU.2015.0369


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Anibal Wood Branco 1

1 Departamento de Urologia Hospital Cruz Vermelha, Curitiba, Brasil

 

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