Pediatric Partial Nephrectomy for Upper Urinary Tract Duplication Anomalies: A Comparison Between Different Surgical Approaches and Techniques

Neheman, Amos; Kord, Eyal; Strine, Andrew C.; VanderBrink, Brian A.; Minevich, Eugene; DeFoor, William; Reddy, Pramod; Noh, Paul H.

doi:10.1016/j.urology.2018.11.026

Cited by 21 publications

(11 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Surgical care consists in performing nephrectomy of the kidney's upper pole. This therapeutic option was chosen because it was described that the kidney area drained by an ectopic ureter is often non-functional and with dysplasia [8]. It is a semi-conservative treatment of the kidney.…”

Section: Discussionmentioning

confidence: 99%

A Child with Right Complete Ureteral Duplication Revealed by Sepsis in Northern Benin: A Case Report

Agossou

Gandaho

et al. 2020

Asp Biomed Clin Case Rep

View full text Add to dashboard Cite

Upper urinary tract abnormalities are relatively common and may be diagnosed before or at birth. Some cases will be seen during complications that most often are obstructive. We herein report one case of complete right ureter duplication revealed by sepsis. The case involved one little girl aged 3 years, referred from a peripheral health center for prolonged fever. Physical examination found out a right flank mass connecting with the lumbar spine, renal ballottement, and pain due to a blow to the right flank. Further explorations helped establish the diagnosis of complete duplication of the right ureter with the destruction of the upper renal pelvis. Little girl benefitted from a dual antibiotic therapy combined with partial nephrectomy of the right kidney upper pole. Infectious are serious complications in upper urinary tract obstructions resulting in kidney destruction; therefore, early diagnosis is required.

show abstract

Section: Discussionmentioning

confidence: 99%

A Child with Right Complete Ureteral Duplication Revealed by Sepsis in Northern Benin: A Case Report

Agossou

Gandaho

et al. 2020

Asp Biomed Clin Case Rep

View full text Add to dashboard Cite

show abstract

“…Of those performed by MIS, conventional laparoscopic approach remains more common than robotic surgery [34]. In 2019, a two-centre study comparing open, laparoscopic and robotic approaches demonstrated comparable post-operative complication rates between all groups [35]. Unsurprisingly, an open approach was associated with greater post-operative pain, while both laparoscopic and robotic surgery had significantly longer operative times [35].…”

Section: Nephrectomymentioning

confidence: 99%

“…In 2019, a two-centre study comparing open, laparoscopic and robotic approaches demonstrated comparable post-operative complication rates between all groups [35]. Unsurprisingly, an open approach was associated with greater post-operative pain, while both laparoscopic and robotic surgery had significantly longer operative times [35]. When directly comparing robotic and laparoscopic approaches, Malik et al demonstrated equivalent lengths of stay and incidence of complications [36].…”

Section: Nephrectomymentioning

confidence: 99%

Paediatric robotic surgery: a narrative review

et al. 2023

View full text Add to dashboard Cite

The benefits of minimally invasive surgery (MIS) compared with traditional open surgery, including reduced postoperative pain and a reduced length of stay, are well recognised. A significant barrier for MIS in paediatric populations has been the technical challenge posed by laparoscopic surgery in small working spaces, where rigid instruments and restrictive working angles act as barriers to safe dissection. Thus, open surgery remains commonplace in paediatrics, particularly for complex major surgery and for surgical oncology. Robotic surgical platforms have been designed to overcome the limitations of laparoscopic surgery by offering a stable 3-dimensional view, improved ergonomics and greater range of motion. Such advantages may be particularly beneficial in paediatric surgery by empowering the surgeon to perform MIS in the smaller working spaces found in children, particularly in cases that may demand intracorporeal suturing and anastomosis. However, some reservations have been raised regarding the utilisation of robotic platforms in children, including elevated cost, an increased operative time and a lack of dedicated paediatric equipment. This article aims to review the current role of robotics within the field of paediatric surgery.

show abstract

“…Comparative studies have also been completed on RALPN versus open partial nephrectomy and laparoscopic partial nephrectomy. [ 28 29 ] Studies have found that while patients who undergo open partial nephrectomy have significantly shorter operative times, they also experience significantly larger volumes of blood loss, longer postoperative hospital stays, and higher morphine and acetaminophen intake than those who undergo more minimally invasive procedures. [ 28 29 ]…”

Section: Partial Nephrectomy and Nephroureterectomymentioning

confidence: 99%

Pediatric robotic urologic procedures: Indications and outcomes

2023

View full text Add to dashboard Cite

Introduction: Robotic-assisted laparoscopic surgery (RALS) has revolutionized minimally invasive surgery in pediatric urology. The robotic platform allows surgeons to maintain the benefits of laparoscopic surgery while having enhanced three-dimensional view, dexterity, range of motion, and control of high-resolution cameras. In this review, we summarize the indications and recent outcomes for various pediatric urologic RALS procedures to illustrate the current state of robotics in pediatric urology. Methods: We systematically searched the PubMed and EMBASE databases. We extrapolated and summarized recent evidence on RALS in pediatric urology patients, with an emphasis on indications and outcomes, with regard to the following procedures and search terms: pyeloplasty, kidney stone surgery, partial nephrectomy, nephroureterectomy, ureteral reimplantation, appendico-vesicostomy, augmentation cystoplasty, bladder neck reconstruction, and Malone antegrade continence enema. Additional Medical Subject Headings terms used to augment the search included “Treatment Outcome” and “Robotic Surgical Procedures.” Results: Increasing usage of RALS has shown many benefits in perioperative and postoperative outcomes. In addition, there is growing evidence that robotic procedures in pediatric urology result in similar or better surgical outcomes when compared to the standard of care. Conclusions: RALS has shown considerable effectiveness in pediatric urologic procedures and may achieve surgical outcomes comparable to the standard approaches of open or laparoscopic surgery. However, larger case series and prospective randomized controlled trials are still necessary to validate the reported outcomes, in addition to cost analyses and studies on the surgical learning curve. We believe that the continuous evolution of robotic platforms will allow for enhanced care and quality of life for pediatric urology patients.

show abstract

Pediatric Partial Nephrectomy for Upper Urinary Tract Duplication Anomalies: A Comparison Between Different Surgical Approaches and Techniques

Cited by 21 publications

References 18 publications

A Child with Right Complete Ureteral Duplication Revealed by Sepsis in Northern Benin: A Case Report

A Child with Right Complete Ureteral Duplication Revealed by Sepsis in Northern Benin: A Case Report

Paediatric robotic surgery: a narrative review

Pediatric robotic urologic procedures: Indications and outcomes

Contact Info

Product

Resources

About