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<p>We report a surgical technique combining an appendiceal interposition with a Boari flap for the long right ureteral strictures. The major surgical procedures include dissection of the ureter, resection of the stricture lesion and the fibrous scar, performing a psoas hitch and assessment, preparing tubular appendix, and anastomosing the ureteral stump to the apex of the appendix, formation of the bladder flap, and anastomosing the base of the appendix to the bladder flap. At the last follow-up, the patient has recovered well with no complication. The robot-assisted appendiceal interposition plus Boari flap with ICG-fluorescent is a safe and feasible technique for the long right ureteral stricture.</p>

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Robot assisted appendiceal interposition plus Boari flap for long-segment right ureteral stricture: initial experience

  • 期刊论文

  • 发表日期：

    2025年4月11日

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  • Liqing Xu,
  • Xinfei Li,
  • Zhihua Li,
  • Kunlin Yang,
  • Xuesong Li

摘要

We report a surgical technique combining an appendiceal interposition with a Boari flap for the long right ureteral strictures. The major surgical procedures include dissection of the ureter, resection of the stricture lesion and the fibrous scar, performing a psoas hitch and assessment, preparing tubular appendix, and anastomosing the ureteral stump to the apex of the appendix, formation of the bladder flap, and anastomosing the base of the appendix to the bladder flap. At the last follow-up, the patient has recovered well with no complication. The robot-assisted appendiceal interposition plus Boari flap with ICG-fluorescent is a safe and feasible technique for the long right ureteral stricture.