Robot-assisted laparoscopic ureteric reimplantation: extravesical technique.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 24841534.
- Also identified by DOI 10.1111/bju.12813.
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Abstract
To describe our standardised approach to performing robot-assisted extravesical ureteric reimplantation. A total of 29 children, with high grade (III-V) vesico-ureteric reflux (VUR) underwent robot-assisted extravesical ureteric reimplantation between September 2010 and September 2013. Follow-up renal ultrasonography was performed at 1 month and 3 months and a voiding cysto-urethrogram (VCUG) was obtained at 4 months to assess VUR resolution. The mean (range) patient age at the time of surgery was 5.38 (3.0-10.0) years. Postoperative VCUG showed complete resolution of VUR in 32/40 ureters (80%). Of the remaining refluxing ureters, downgrading of VUR on VCUG was shown in 7/8 ureters (87.5%). The mean (range) length of hospital stay was 1.8 (1-3) days. In conclusion, robot-assisted extravesical ureteric reimplantation is technically feasible with acceptable resolution of VUR.
Medical subject headings
- Laparoscopy
- Replantation
- Robotics
- Ureter
- Vesico-Ureteral Reflux