Robot-Assisted Laparoscopic Ureteroureterostomy: Description of Technique

Passerotti, Carlo C.; Diamond, David A.; Borer, Joseph G.; Eisner, Brian H.; Barrisford, Glen W.; Nguyen, Hiep T.

doi:10.1089/end.2007.9838

Cited by 52 publications

(23 citation statements)

References 14 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Passerotti et al have reported that RAUU for the correction of ureteral obstruction in children is a reliable and efficient technique, and can be applied to any pathology that requires ureteral reconstruction, regardless if it is a duplicated or a single system (26).…”

Section: Outcomementioning

confidence: 99%

Robotic-Assisted Laparoscopic Surgery in Pediatric Urology: An Update

Casale

Kojima

2009

Scand J Surg

View full text Add to dashboard Cite

Laparoscopic procedures for urological diseases in children, such as nephrectomy, pyeloplasty and orchiopexy, have proven to be safe and effective with outcome comparable to the open procedure. However, main drawback has been the relatively steep learning curve for this procedure because of technical difficulties of suturing and anastomosis. More recently, robotic-assisted laparoscopic surgery (RAS) has gained enormous popularity in adult urology and is increasingly being adopted around the world; however, few pediatric urology series have been reported. RAS has several advantages over conventional laparoscopic surgery, with the main advantage being simplification and precision of exposure and suturing because of allowing movements of the robotic arm in real time with increased degree of freedom and magnified 3-dimentional view. These features render RAS ideal for complex reconstructive surgery in a pediatric urological population. This review discusses the role of RAS in pediatric urology, and provides some technical aspects of RAS and a critical summary of current knowledge on its indications and outcome. Almost all operations that are classically performed as open or conventional laparoscopic reconstructive surgery for children with urological anomalies could be replaced by RAS, which may be established as an alternative minimally invasive surgery in the future.

show abstract

Section: Outcomementioning

confidence: 99%

Robotic-Assisted Laparoscopic Surgery in Pediatric Urology: An Update

Casale

Kojima

2009

Scand J Surg

View full text Add to dashboard Cite

show abstract

“…Its first use for in a child was reported in 2001, when Meininger et al [11] performed a Nissen fundoplication in a 10-year-old girl. Since then, it has been applied for pediatric urologic [12][13][14][15], cardiac [16,17], hepatobiliary [18,19], diaphragmatic [20,21], thoracic [22,23], and anti-reflux procedures [24][25][26].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus robot-assisted Nissen fundoplication in an infant pig model

Krauss

Neumuth²,

Wachowiak

et al. 2011

Pediatr Surg Int

View full text Add to dashboard Cite

show abstract

“…Overall, the main traditional surgical options available include balloon dilatation ( ± cautery), endoureterotomy (cold knife, diathermy or laser), open surgical repair, and lastly nephrectomy if the renal unit is symptomatic and not functioning. More recently, formal repair of ureteric injuries using 'minimally invasive' laparoscopic or robotic techniques have been described [1]. However, these latter superspecialized solutions are not applicable/ available to the wider UK general population.…”

Section: Discussionmentioning

confidence: 99%

Combined antegrade and retrograde endoscopic retroperitoneal bypass of ureteric strictures: a modification of the ‘rendezvous’ procedure

Yates¹,

Mehta

Spencer³

et al. 2010

BJU International

View full text Add to dashboard Cite

Study Type – Therapy (case series) Level of Evidence 4OBJECTIVETo evaluate our experience of treating complicated iatrogenic ureteric strictures with a combined antegrade and retrograde endoscopic retroperitoneal bypass technique, a modification of the so‐called ‘rendezvous’ procedure.PATIENTS AND METHODSSeven patients presented to our institution between 2004 and 2008 after developing a complicated iatrogenic ureteric stricture, impassable with solitary antegrade or retrograde stenting techniques. In most cases there was a significant loss of ureteric continuity, with some strictures of up to 10–12 cm. After initial temporizing management with a percutaneous nephrostomy, each patient had a radiological ‘rendezvous’ procedure to insert a JJ stent and restore ureteric continuity. After 6 months, the JJ stents were removed and the patients evaluated by symptom assessment, serial measurements of serum creatinine and diuretic renography (F‐15 mercaptoacetyl triglycine).RESULTSAll seven ‘rendezvous’ procedures were successful and a ureteric stent was inserted across or around the stricture in all cases. Five of seven patients whose follow‐up was >6 months had their stent removed successfully. At a median follow‐up of 21 months, all patients are alive and none has required subsequent surgery. Six of the seven patients presented with significant symptoms and they are all currently symptom‐free, which we consider to be a successful clinical outcome. No patient has developed significant renal impairment (estimated glomerular filtration rate (<30 mL/min) but we could only confirm successful unequivocal renographic drainage in one patient.CONCLUSIONCombining antegrade radiological and retrograde endourological techniques, it is possible to restore ureteric continuity with a JJ stent, even in situations with extensive loss of the ureteric lumen. This reduces the need for morbid open surgical repair and offers a long‐term solution to patients who might otherwise be consigned to less favourable conservative measures.

show abstract

Robot-Assisted Laparoscopic Ureteroureterostomy: Description of Technique

Abstract: RALU is a reliable and efficient technique for the correction of ureteral obstruction in children and can be applied to any pathology that requires ureteral reconstruction, regardless if it is a duplicated or a single system.

Cited by 52 publications

References 14 publications

Robotic-Assisted Laparoscopic Surgery in Pediatric Urology: An Update

Robotic-Assisted Laparoscopic Surgery in Pediatric Urology: An Update

Laparoscopic versus robot-assisted Nissen fundoplication in an infant pig model

Combined antegrade and retrograde endoscopic retroperitoneal bypass of ureteric strictures: a modification of the ‘rendezvous’ procedure

Contact Info

Product

Resources

About