Pediatric Robotic Extravesical Ureteral Reimplantation: Comparison With Open Surgery

Smith, Ryan P.; Oliver, Janine; Peters, Craig A.

doi:10.1016/j.juro.2010.12.072

Cited by 147 publications

(83 citation statements)

References 11 publications

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“…As reported previously, the technique is shown to be safe and effective [8,9,12,13,17] . Although the technique remains challenging, robotics certainly add to the precision and ease of most surgical steps when compared to conventional laparoscopy.…”

Section: Discussionsupporting

confidence: 68%

“…When looking at the 2 latest papers on robotic extravesical Lich-Gregoir procedures published in 2011, the total number of patients is 25 and 22, respectively, but the first group mentions only 4 patients with a duplex system and no further patients with diverticula, urethral valves or any other 'complicating factors' [12,13] . The other group even excluded the patients with associated urinary pathology other than duplication or diverticula in their retrospective analysis, but omits all details regarding these patients, if any.…”

Section: Discussionmentioning

confidence: 99%

“…So far, only retrospective comparative studies, reporting on limited numbers of patients are available [12,13] . They suggest that this robotic technique is a safe option with success rates of 97% or more, similar to open surgery [8,12,13] . The basic fact remains that experience is limited to only a few centers and relatively small numbers of patients.…”

Section: Discussionmentioning

confidence: 99%

“…So far, only very limited data on robotic extravesical laparoscopic anti-reflux operations in children with ureteral duplication have been published [8,12] . No publications report on para-ureteral diverticula or valve bladders.…”

Section: Introductionmentioning

confidence: 99%

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Robotic Extravesical Anti-Reflux Operations in Complex Cases: Technical Considerations and Preliminary Results

Callewaert

Biallosterski²,

Rahnama’i³

et al. 2011

Urol Int

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Objectives: To evaluate technical aspects and outcome of robotic laparoscopic extravesical anti-reflux surgery in the treatment of high-grade vesicoureteral reflux (VUR) with associated complicating conditions. Materials and Methods: Retrospective database and chart reviews were performed to identify a subgroup of patients with high-grade VUR who underwent robot-assisted anti-reflux surgery using the extravesical Lich-Gregoir repair and who additionally had preoperatively known complicating factors. Five such patients were operated on from 2005 to 2009. All had bilateral VUR, bladder dysfunction, breakthrough infections, renal scarring or at least one of the following complicating factors: posterior urethral valve bladders, duplex systems or para-ostial diverticula. Outcome and surgical aspects were assessed. Results: At follow-up 9 of 10 ureters were free of reflux and diverticulae had disappeared completely. No lasting urinary retentions occurred but two boys needed reinsertion of a catheter for 24 h after surgery. No further complications were noted. There were no signs of obstruction, infections did not persist and there was no negative effect on bladder function. Dissection of para-ostial diverticula seemed the only additional technical challenge. Conclusions: Robot-assisted extravesical anti-reflux surgery seems a promising technique in the operative management of this unfavorable subset of patients. Reflux cure rate is higher than expected using injection therapy and at the same time morbidity seems lower than with open surgery. Further experience is needed to confirm these first impressions.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Robotic Extravesical Anti-Reflux Operations in Complex Cases: Technical Considerations and Preliminary Results

Callewaert

Biallosterski²,

Rahnama’i³

et al. 2011

Urol Int

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“…Akhavan et al [12] detected 92.3% success rate, and complications at a rate of 10% including febrile urinary system infection, ureteral obstruction, periureteral fluid collection, and ureteral injury. Smith et al [13] compared open surgery, and RALUR technique. İn both groups higher success rates were reported.…”

Section: Discussionmentioning

confidence: 99%

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

Kïbar

Yalçın

Kaya

et al. 2017

Turkish Journal of Urology

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Objective: Robotic surgery is a leading treatment option for minimally invasive surgery and has an increasing popularity in pediatric population, as well. In this article, we reported our case series of robot-assisted laparoscopic surgery in pediatric population. Material and methods:We retrospectively reviewed 29 consecutive pediatric patients who underwent robot-assisted procedures between May 2014 and October 2016. Patient demographics, hospitalization time, estimated blood loss, robotic time and total operative and peri-, and post-operative complications were evaluated.Results: A total of 24 ureter units (18 patients) with grade 1-5 vesicoureteral reflux in 13 female and 5 male, 1 male patient with vesicoureteral stenosis were underwent robot-assisted laparoscopic ureteral reimplantation (RALUR). All patients had complete resolution after surgery. Robot-assisted laparoscopic pyeloplasty (RALP) was performed in 6 patients with ureteropelvic junction obstruction. All patients had complete resolution after surgery. Completely intracorporeal robotic assisted laparoscopic augmentation ileocystoplasty (RLAIC) was applied to two patients with neurogenic bladder. The symptoms and preoperative hydronephrosis were regressed on the first month of follow-up. Robot-assisted laparoscopic reduction cystoplasty (RALRC) was performed in 14-year-old boy with a bladder diverticula and recurrent urinary tract infection. The last case was eleven-year-old female patient with non-functioning kidney. She had recurrent urinary tract infections and was treated with robotic assisted laparoscopic nephrectomy (RALN). Conclusion:Robot-assisted laparoscopic surgery is safe and efficient in pediatric population. Although open surgery is still the gold standard for many pediatric diseases, inherent reconstructive advantages of robotic assisted laparoscopy have a chance to change this view.

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Complications of antireflux surgery

2015

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Pediatric Robotic Extravesical Ureteral Reimplantation: Comparison With Open Surgery

Cited by 147 publications

References 11 publications

Robotic Extravesical Anti-Reflux Operations in Complex Cases: Technical Considerations and Preliminary Results

Robotic Extravesical Anti-Reflux Operations in Complex Cases: Technical Considerations and Preliminary Results

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

Complications of antireflux surgery

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