{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:52:27Z","timestamp":1781869947237,"version":"3.54.5"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100006034","name":"University of Southern California","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006034","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ileal conduit urinary diversion is associated with complications involving the uretero-ileal anastomosis, conduit segment, stoma, and abdominal wall. Complex complications may require individualized reconstructive strategies based on the specific anatomic failure mechanism. A video-based descriptive technical analysis was performed using a narrated operative recording of four robot-assisted reconstructive procedures for ileal conduit complications: right uretero-ileal stricture, bilateral uretero-ileal stricture, delayed conduit torsion with parastomal hernia, and crossed ureters after ileal conduit diversion. The unilateral stricture repair used antegrade methylene blue injection, needle confirmation of the ureteral lumen, ureteral incision and spatulation, ileal conduit incision, stenting, and running side-to-side uretero-ileal reimplantation. The bilateral stricture repair required mobilization and removal of the prior conduit, creation of a longer ileal conduit, bowel reconstruction, ICG-assisted ureteral identification, bilateral ureteral spatulation, stenting, and running uretero-ileal reimplantation. The torsion case involved circumferential stomal access, fascial opening, detorsion of a 360-degree conduit twist, and parastomal reinforcement with polypropylene mesh. The crossed-ureter revision used bilateral excision of prior anastomoses to healthy tissue, side-specific dye\/saline confirmation, bilateral spatulation, double-barrel ureteral reconstruction, and circumferential anastomosis to the conduit. Complex ileal conduit revision can be organized around problem recognition, ureteral identity confirmation, preparation of healthy tissue, tension-aware reconstruction, and repair selection based on the underlying anatomic defect. This mechanism-based approach provides a structured framework for robot-assisted correction of uretero-ileal strictures, conduit torsion, and ureteral malorientation after ileal conduit diversion.<\/jats:p>","DOI":"10.1007\/s11701-026-03565-5","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:12:05Z","timestamp":1781867525000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic management of complex ileal conduit complications"],"prefix":"10.1007","volume":"20","author":[{"given":"Juan P.","family":"Dugarte","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Eskenazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio A.","family":"Bianco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Guevara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis G.","family":"Medina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rene J.","family":"Sotelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"issue":"3","key":"3565_CR1","first-page":"299","volume":"72","author":"LG Medina","year":"2019","unstructured":"Medina LG, Baccaglini W, Hern\u00e1ndez A, Rajarubendra N, Winter M, Ashrafi AN, Tafuri A, Cacciamani CE, Sotelo R (2019) Robotic intracorporeal ileal conduit: technical aspects. Arch Espa\u00f1oles de Urolog\u00eda 72(3):299\u2013308","journal-title":"Arch Espa\u00f1oles de Urolog\u00eda"},{"issue":"3","key":"3565_CR2","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1007\/s11701-020-01174-4","volume":"15","author":"K Tanneru","year":"2021","unstructured":"Tanneru K, Jazayeri SB, Kumar J, Alam MU, Norez D, Nguyen S, Bazargani S, Ganapathi HP, Bandyk M, Marino R, Koochekpour S, Gautam S, Balaji KC, Costa J (2021) Intracorporeal versus extracorporeal urinary diversion following robot-assisted radical cystectomy: a meta-analysis, cumulative analysis, and systematic review. J Robotic Surg 15(3):321\u2013333","journal-title":"J Robotic Surg"},{"issue":"5","key":"3565_CR3","doi-asserted-by":"publisher","first-page":"4109","DOI":"10.3390\/curroncol28050348","volume":"28","author":"S Narita","year":"2021","unstructured":"Narita S, Saito M, Numakura K, Habuchi T (2021) Incidence, etiology, prevention and management of ureteroenteric strictures after robot-assisted radical cystectomy: a review of published evidence and personal experience. Curr Oncol 28(5):4109\u20134117","journal-title":"Curr Oncol"},{"issue":"1","key":"3565_CR4","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1148\/rg.2021200067","volume":"41","author":"K Kobayashi","year":"2021","unstructured":"Kobayashi K, Coel A, Coelho MP, Medina Perez M, Klumpp M, Tewari SO, Appleton-Figueira T, Pinter DJ, Shapiro D, Jawed M (2021) Complications of ileal conduits after radical cystectomy: interventional radiologic management. Radiographics 41(1):249\u2013267","journal-title":"Radiographics"},{"issue":"6","key":"3565_CR5","doi-asserted-by":"publisher","first-page":"1302","DOI":"10.1016\/j.urology.2010.03.014","volume":"76","author":"AR El-Nahas","year":"2010","unstructured":"El-Nahas AR, Shokeir AA (2010) Endourological treatment of nonmalignant upper urinary tract complications after urinary diversion. Urology 76(6):1302\u20131308","journal-title":"Urology"},{"issue":"3","key":"3565_CR6","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/j.urology.2003.09.062","volume":"63","author":"R Tal","year":"2004","unstructured":"Tal R, Bachar GN, Baniel J, Belenky A (2004) External-internal nephro-uretero-ileal stents in patients with an ileal conduit: long-term results. Urology 63(3):438\u2013441","journal-title":"Urology"},{"key":"3565_CR7","doi-asserted-by":"publisher","first-page":"bcr","DOI":"10.1136\/bcr-2018-227924","volume":"12","author":"R Shamavonian","year":"2019","unstructured":"Shamavonian R, Andrawis N (2019) Ileal conduit volvulus: rare complication of urinary diversion. BMJ Case Rep 12:bcr\u20132018","journal-title":"BMJ Case Rep"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-03565-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-026-03565-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-03565-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:12:06Z","timestamp":1781867526000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-026-03565-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3565"],"URL":"https:\/\/doi.org\/10.1007\/s11701-026-03565-5","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"assertion":[{"value":"1 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Informed consent was obtained from all patients for inclusion of their case information, operative images\/video material, and related clinical details for academic reporting, publication, and educational video use.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}],"article-number":"599"}}