Trauma/Reconstruction/Diversion
Lee Zhao, MD MS (he/him/his)
Professor of Urology and Plastic Surgery
NYU Langone Health
Daniel Eun, MD
Professor of Urology
Lewis Katz School of Medicine at Temple University
Michael Stifelman, MD
Professor
Hackensack Meridian School of Medicine
Raju Thomas, MD, FACS, FRCS
Department Head
Tulane University
Course Description: At the completion of this course, each participant will have a thorough understanding of how to apply robotics to perform complex upper urinary tract reconstruction. We will teach the participants with standardized techniques for pyeloplasty, ureteroureterostomy, ureteroplasty and ureterolysis. Multiple techniques of ureteral reimplantation will also be demonstrated: refluxing, nonrefluxing, extravesical, intravesical and Boari flap. We will describe techniques such as downward nephropexy, psoas hitch and omental flap to complement these techniques. Urinary reconstruction in the context of unusual anatomy will also be discussed, including management for horseshoe kidney, retrocaval ureter, ureteral duplication, ectopic and malrotated kidneys, and retroperitoneal fibrosis. Advanced reconstructive procedures will be demonstrated, such as revision of ureterointestinal anastomoses and buccal mucosa graft for long segment ureteral strictures. Tips and tricks will be given, including efficient methods of stent placement and ureteral localization using advanced imaging techniques, and intraureteral indocyanine green will be described. Preoperative planning, operative technique, postoperative management and complications will be reviewed in a systematic fashion. The course will rely heavily on video-based learning. The course faculty will include four internationally known high-volume robotic surgeons, all with an expertise in upper urinary tract reconstruction whose combined experience is over 1,000 cases.