{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T14:57:28Z","timestamp":1783177048987,"version":"3.54.6"},"reference-count":28,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>There is presently scarce literature describing the outcomes of patients undergoing robotic ureteral reconstruction (RUR) using the Boari flap (BF) technique. Herein, we report our prospective, multi-institutional experience using BF in patients undergoing robotic urinary reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>We reviewed our prospective, multicenter database for all patients undergoing RUR between September 2013 and September 2021 in which a BF was utilized. Preoperative, perioperative, and follow-up data were collected and analyzed. Major complications were defined as a Clavien\u2013Dindo classification grade &gt;2. Surgical failure was defined as recurrent symptoms, obstruction on imaging, or the need for additional surgical interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We identified 50 patients who underwent RUR using a BF. Four (8%) underwent the Single Port approach. Twenty-four patients (48%) were active or former tobacco users. Thirty-four patients (68%) had previously undergone abdominal surgery, 17 (34%) had prior ureteral stricture interventions, and 9 (18%) had prior abdominopelvic radiation. The most common stricture etiology was malignancy (34.4%). The median follow-up was 15.0 months with a 90% (45\/50) success rate. The five documented cases of failure occurred at a median of 1.8 months following the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In the largest prospective, multi-institutional study of patients undergoing RUR with BF in the literature to date, we demonstrate a low rate of complications and a high rate of surgical success in three tertiary academic medical centers. All observed failures occurred within 2 months of surgical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2022.0618","type":"journal-article","created":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T01:45:36Z","timestamp":1682559936000},"page":"775-780","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["A Multi-Institutional Experience Utilizing Boari Flap in Robotic Urinary Reconstruction"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7802-3999","authenticated-orcid":false,"given":"Tanner D.","family":"Corse","sequence":"first","affiliation":[{"name":"Department of Urology, Hackensack Meridian School of Medicine, Nutley, New Jersey, USA."},{"name":"Department of Urology, Hackensack University Medical Center, Hackensack, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Dayan","sequence":"additional","affiliation":[{"name":"Department of Urology, Hackensack Meridian School of Medicine, Nutley, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Urology, Hackensack University Medical Center, Hackensack, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Urology, Hackensack Meridian School of Medicine, Nutley, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Department of Urology, Temple University School of Medicine, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirtishri","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Urology, New York University, Langone Medical Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Sanchez De La Rosa","sequence":"additional","affiliation":[{"name":"Department of Urology, Hackensack University Medical Center, Hackensack, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mutahar","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Urology, Hackensack Meridian School of Medicine, Nutley, New Jersey, USA."},{"name":"Department of Urology, Hackensack University Medical Center, Hackensack, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Lovallo","sequence":"additional","affiliation":[{"name":"Department of Urology, Hackensack Meridian School of Medicine, Nutley, New Jersey, USA."},{"name":"Department of Urology, Hackensack University Medical Center, Hackensack, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7630-2740","authenticated-orcid":false,"given":"Daniel D.","family":"Eun","sequence":"additional","affiliation":[{"name":"Department of Urology, Temple University School of Medicine, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4029-0669","authenticated-orcid":false,"given":"Lee C.","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Urology, New York University, Langone Medical Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D.","family":"Stifelman","sequence":"additional","affiliation":[{"name":"Department of Urology, Hackensack Meridian School of Medicine, Nutley, New Jersey, USA."},{"name":"Department of Urology, Hackensack University Medical Center, Hackensack, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Collaborative of Reconstructive Robotic Ureteral Surgery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,7]]},"reference":[{"key":"e_1_3_5_2_2","first-page":"1059","article-title":"The uretero-cystostomy. 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