Robot-assisted laparoscopic ureteric reimplantation: extravesical technique

BJU Int. 2014 Oct;114(4):630-2. doi: 10.1111/bju.12813. Epub 2014 Aug 14.

Abstract

Objectives: To describe our standardised approach to performing robot-assisted extravesical ureteric reimplantation.

Patients and methods: 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.

Results: 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.

Conclusions: In conclusion, robot-assisted extravesical ureteric reimplantation is technically feasible with acceptable resolution of VUR.

Keywords: extravesical; reimplantation; robotic; ureter.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child, Preschool
  • Cohort Studies
  • Humans
  • Laparoscopy / methods*
  • Length of Stay
  • Patient Positioning
  • Replantation / methods*
  • Robotics / methods*
  • Treatment Outcome
  • Ureter / surgery*
  • Vesico-Ureteral Reflux / surgery*