{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:01:23Z","timestamp":1790874083366,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T00:00:00Z","timestamp":1546560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To describe the step\u2010by\u2010step techniques for robot\u2010assisted ureteric reimplantation performed using the Vinci\n                      <jats:styled-content style=\"fixed-case\">SP<\/jats:styled-content>\n                      <jats:sup>\u00ae<\/jats:sup>\n                      surgical system (Intuitive Surgical, Sunnyvale,\n                      <jats:styled-content style=\"fixed-case\">CA<\/jats:styled-content>\n                      , USA), including different case scenarios with an educational purpose.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Three consecutive patients diagnosed with distal benign ureteric strictures were counselled for ureteric reimplantation and consented to undergo surgery performed using the da Vinci\n                      <jats:styled-content style=\"fixed-case\">SP<\/jats:styled-content>\n                      surgical system. Demographics and peri\u2010operative outcomes were collected after institutional review board approval (\n                      <jats:styled-content style=\"fixed-case\">IRB<\/jats:styled-content>\n                      13\u2010780). Patients provided informed consent having received an explanation for the adoption of the novel platform. The first patient was a woman referred to our institution for a left distal ureteric stricture after total hysterectomy for uterine fibroids with ureteric injury. The second patient was a man with BPH and recurrent UTIs, who was diagnosed with a 1.5\u2010cm bladder stone and a large bladder diverticulum compressing the left distal ureter. The third patient was a man diagnosed with bilateral uretero\u2010enteric anastomoses stricture status after radical cystectomy with orthotopic ileal neobladder urinary diversion for bladder cancer.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The procedures were successfully completed. An extra port through a separate skin incision for the bedside assistant was placed for the first two procedures. In such cases, this additional port was used electively from the start of the procedure and did not represent a change in the treatment plan. Moreover, the port wound was used to accommodate the drainage. The bilateral ureteric reimplantation, however, was completed according to a pure single\u2010site approach (no extra ports were placed out of the GelSeal cap). The mean operating times were 165, 150 and 180 min, respectively. Blood loss was 50 mL in all cases. No intra\u2010operative complications occurred. Patients were discharged on postoperative days 1, 1 and 2, respectively, with normal serum creatinine levels. Neither transfusions nor major complications occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Robot\u2010assisted reconstructive surgery for benign distal ureteric strictures is feasible and safe using the da Vinci\n                      <jats:styled-content style=\"fixed-case\">SP<\/jats:styled-content>\n                      surgical system.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14635","type":"journal-article","created":{"date-parts":[[2018,11,30]],"date-time":"2018-11-30T06:46:59Z","timestamp":1543560419000},"page":"733-739","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Robot\u2010assisted surgery for benign distal ureteral strictures: step\u2010by\u2010step technique using the\n                    <scp>SP<\/scp>\n                    <sup>\u00ae<\/sup>\n                    surgical system"],"prefix":"10.1111","volume":"123","author":[{"given":"Jihad H.","family":"Kaouk","sequence":"first","affiliation":[{"name":"Glickman Urological and Kidney Institute Cleveland Clinic Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9530-4039","authenticated-orcid":false,"given":"Juan","family":"Garisto","sequence":"additional","affiliation":[{"name":"Glickman Urological and Kidney Institute Cleveland Clinic Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Eltemamy","sequence":"additional","affiliation":[{"name":"Glickman Urological and Kidney Institute Cleveland Clinic Cleveland OH 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