{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T21:51:47Z","timestamp":1791755507341,"version":"4.3.4"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n            <jats:title>Background.<\/jats:title>\n            <jats:p>Approximately 5% to 10% of patients who undergo kidney transplantation develop ureteral stricture, which can be treated endoscopically or by open surgery, which is more effective but complications are common and potentially severe. Robotic surgery has begun to emerge as an alternative in reconstructive procedures. However, few studies have evaluated the role of robotic surgery in this clinical setting. The aim of this study was to assess the efficacy and safety of robotic surgery in treating ureteral stricture after kidney transplantation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods.<\/jats:title>\n            <jats:p>Single-center study of patients (n = 27), who developed ureteral stricture following kidney transplantation. All patients were treated from 2018 to 2023. We describe the patients\u2019 baseline characteristics and clinical and surgical features. We determined the success rate as a measure of efficacy and complications to measure safety.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results.<\/jats:title>\n            <jats:p>We perform 15 pyeloureterostomies to the native ureter and 12 ureteroneocystostomies. At a median follow-up of 15 mo, the success rate was 92.6%. Fourteen patients (52%) developed treatment-related complications, mainly grade II (Clavien-Dindo classification), except for one grade IVb complication. The median length of hospital stay was 3 d [interquartile range (2\u20136)].<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions.<\/jats:title>\n            <jats:p>These data show that robotic surgery is a safe and effective procedure for the treatment of ureteral strictures after kidney transplantation. The success rate was high with a low complication rate. To our knowledge, this is the largest series to date to evaluate robotic surgery in this clinical setting.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/tp.0000000000005237","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T02:00:06Z","timestamp":1728352806000},"page":"853-859","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Robotic Repair of Ureteral Strictures After Kidney Transplantation"],"prefix":"10.1097","volume":"109","author":[{"given":"Pol","family":"Sanz-Serra","sequence":"first","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bego\u00f1a","family":"Etcheverry","sequence":"additional","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Fiol","sequence":"additional","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"F\u00e1bregas","sequence":"additional","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00edctor","family":"Lozano","sequence":"additional","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Ignacio","family":"P\u00e9rez-Reggeti","sequence":"additional","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d3scar","family":"Buisan","sequence":"additional","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Llu\u00eds","family":"Riera","sequence":"additional","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Francisco","family":"Su\u00e1rez","sequence":"additional","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manel","family":"Castells","sequence":"additional","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesc","family":"Vigu\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Urology, Bellvitge University Hospital, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"R1-20250714","doi-asserted-by":"crossref","first-page":"1725","DOI":"10.1056\/NEJM199912023412303","article-title":"Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant.","volume":"341","author":"Wolfe","year":"1999","journal-title":"N Engl J Med"},{"key":"R2-20250714","doi-asserted-by":"crossref","first-page":"471","DOI":"10.2215\/CJN.05021107","article-title":"Kidney transplantation as primary therapy for end-stage renal disease: a National Kidney Foundation\/Kidney Disease Outcomes Quality Initiative (NKF\/KDOQITM) conference.","volume":"3","author":"Abecassis","year":"2008","journal-title":"Clin J Am Soc Nephrol"},{"key":"R3-20250714","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1111\/j.1464-410X.1981.tb03216.x","article-title":"The urological complications of 1000 renal transplants.","volume":"53","author":"Mundy","year":"1981","journal-title":"Br J Urol"},{"key":"R4-20250714","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1159\/000065555","article-title":"Urological complications in renal transplantation: long-term follow-up of the Woodruff ureteroneocystostomy procedure in 433 patients.","volume":"69","author":"Gogus","year":"2002","journal-title":"Urol Int"},{"key":"R5-20250714","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1159\/000077125","article-title":"Urological and surgical complications in 362 consecutive living related donor kidney transplantations.","volume":"72","author":"Kocak","year":"2004","journal-title":"Urol Int"},{"key":"R6-20250714","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.transproceed.2017.01.050","article-title":"Ureteral stenosis after renal transplantation: A single-center 10-year experience.","volume":"49","author":"Gil-Sousa","year":"2017","journal-title":"Transplant Proc"},{"key":"R7-20250714","doi-asserted-by":"crossref","first-page":"3437","DOI":"10.1681\/ASN.2005040439","article-title":"Comorbid conditions in kidney transplantation: Association with graft and patient survival.","volume":"16","author":"Wu","year":"2005","journal-title":"J Am Soc Nephrol"},{"key":"R8-20250714","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/S0090-4295(03)00655-1","article-title":"Treatment of renal transplant ureterovesical anastomotic strictures using antegrade balloon dilation with or without holmium: YAG laser endoureterotomy.","volume":"62","author":"Kristo","year":"2003","journal-title":"Urology"},{"key":"R9-20250714","doi-asserted-by":"crossref","first-page":"3170","DOI":"10.1016\/j.transproceed.2008.08.040","article-title":"Ureteral complications in renal transplant recipients successfully treated with interventional radiology.","volume":"40","author":"Kaskarelis","year":"2008","journal-title":"Transplant Proc"},{"key":"R10-20250714","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1097\/01.TP.0000437559.41514.96","article-title":"Ureteral complications after hand-assisted laparoscopic living donor nephrectomy.","volume":"97","author":"Gabr","year":"2014","journal-title":"Transplantation"},{"key":"R11-20250714","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1159\/000335329","article-title":"Ureteral reconstruction after renal transplantation: Clinical outcome and risk factors.","volume":"88","author":"Alberts","year":"2012","journal-title":"Urol Int"},{"key":"R12-20250714","doi-asserted-by":"crossref","first-page":"2578","DOI":"10.1016\/j.transproceed.2022.10.045","article-title":"Ureteral complications requiring intervention after kidney transplant: A single-center experience.","volume":"54","author":"Illesy","year":"2022","journal-title":"Transplant Proc"},{"key":"R13-20250714","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1089\/end.2012.0196","article-title":"Robot-assisted ureteroneocystostomy: Technique and comparative outcomes.","volume":"27","author":"Isac","year":"2013","journal-title":"J Endourol"},{"key":"R14-20250714","first-page":"221","article-title":"Robot-assisted laparoscopic ureteral reconstruction: A systematic review of literature.","volume":"71","author":"Kolontarev","year":"2018","journal-title":"Cent European J Urol"},{"key":"R15-20250714","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.urology.2017.04.005","article-title":"Robot-assisted transplanted ureteral stricture management.","volume":"105","author":"Abdul-Muhsin","year":"2017","journal-title":"Urology"},{"key":"R16-20250714","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.urology.2017.05.033","article-title":"Post-kidney transplant robot-assisted laparoscopic ureteral (Donor-receiver) anastomosis for kidney graft reflux or stricture disease.","volume":"108","author":"Benamran","year":"2017","journal-title":"Urology"},{"key":"R17-20250714","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/j.purol.2018.07.005","article-title":"[Pyelo-ureteral anastomosis, for stenosis of the kidney transplant ureter, by laparoscopic approach with robotic assistance].","volume":"28","author":"Hedhli","year":"2018","journal-title":"Prog Urol"},{"key":"R18-20250714","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1007\/s11255-019-02144-y","article-title":"Robot-assisted laparoscopic surgery for the management of post-renal transplant ureteric strictures.","volume":"51","author":"Adiyat","year":"2019","journal-title":"Int Urol Nephrol"},{"key":"R19-20250714","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.urology.2020.06.041","article-title":"Robotic surgery for the reconstruction of transplant ureteral strictures.","volume":"144","author":"Kim","year":"2020","journal-title":"Urology"},{"key":"R20-20250714","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.urology.2021.05.029","article-title":"Robot-assisted transplant ureteral repair to treat transplant ureteral strictures in patients after Robot-assisted kidney transplant: A case series.","volume":"156","author":"Malinzak","year":"2021","journal-title":"Urology"},{"key":"R21-20250714","doi-asserted-by":"crossref","first-page":"154","DOI":"10.4111\/icu.20220364","article-title":"Robotic ureter reconstruction using the native ureter to treat long-segment ureteral stricture of the transplant kidney utilizing Indocyanine green: The first Korean experience.","volume":"64","author":"Kim","year":"2023","journal-title":"Investig Clin Urol"},{"key":"R22-20250714","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1159\/000523690","article-title":"Ureteral stenosis and fistula after kidney transplantation.","volume":"107","author":"Santos Perez de la Blanca","year":"2023","journal-title":"Urol Int"},{"key":"R23-20250714","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.ijsu.2015.05.028","article-title":"Urinary reconstruction after kidney transplantation: Pyeloureterostomy versus ureteroneocystostomy.","volume":"19","author":"Norris","year":"2015","journal-title":"Int J Surg"},{"key":"R24-20250714","doi-asserted-by":"crossref","first-page":"1977","DOI":"10.1111\/ajt.14696","article-title":"Impact of ureteral stricture and treatment choice on long-term graft survival in kidney transplantation.","volume":"18","author":"Arpali","year":"2018","journal-title":"Am J Transplant"},{"key":"R25-20250714","first-page":"221","article-title":"Robot-assisted laparoscopic ureteral reconstruction: Small a, Cyrillic systematic review of literature.","volume":"71","author":"Kolontarev","year":"2018","journal-title":"Cent European J Urol"},{"key":"R26-20250714","doi-asserted-by":"crossref","first-page":"65","DOI":"10.4111\/icu.20200298","article-title":"Intermediate-term outcomes after robotic ureteral reconstruction for long-segment (>\/=4 centimeters) strictures in the proximal ureter: A multi-institutional experience.","volume":"62","author":"Lee","year":"2021","journal-title":"Investig Clin Urol"},{"key":"R27-20250714","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S0022-5347(05)65375-X","article-title":"Ligation of the native ureter in renal transplantation.","volume":"167","author":"Gallentine","year":"2002","journal-title":"J Urol"},{"key":"R28-20250714","doi-asserted-by":"crossref","first-page":"10213","DOI":"10.3389\/ti.2021.10213","article-title":"Urological complications associated with pyeloureterostomy without ipsilateral nephrectomy in renal transplant recipients.","volume":"35","author":"Neto","year":"2021","journal-title":"Transpl Int"}],"container-title":["Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/TP.0000000000005237","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T20:01:01Z","timestamp":1752523261000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/TP.0000000000005237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,8]]},"references-count":28,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/tp.0000000000005237","relation":{},"ISSN":["0041-1337","1534-6080"],"issn-type":[{"value":"0041-1337","type":"print"},{"value":"1534-6080","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,8]]}}}