Failed pyeloplasty in children: Is robot-assisted laparoscopic reoperative repair feasible?

Journal of Pediatric Urology
Marino AsensioJosep Lloret

Abstract

In this study we aim to demonstrate that robot-assisted laparoscopic (RAL) reoperative repair is safe and effective and even less technically demanding than open repair for recurrent ureteropelvic-junction obstruction (UPJO). A retrospective study was conducted of all cases of failed open pyeloplasties who underwent RAL reoperative repair at our institution between January 2010 and December 2013. The general surgical procedure was the same we previously described for robot-assisted laparoscopic pyeloplasty. Success was defined as: improvement in the degree of hydronephrosis at ultrasound, improvement of diuretic washout time at postoperative diuretic renogram (<15 min), improvement or at least stable differential renal function and absence of symptoms. These radiographic and symptomatic criteria of success were considered the primary outcomes. Secondary outcomes included complications and length of hospital stay. Between 2000 and 2013 a total of 153 patients underwent open Anderson-Hynes dismembered pyeloplasty. Of these 9 (6%) had recurrent UPJO. Four patients underwent open redo pyeloplasty. As a result, our study population comprised 5 children who underwent reoperative RALP repair. Patient characteristics and outcomes are s...Continue Reading

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Citations

Dec 25, 2015·Expert Review of Medical Devices·Angela M Arlen, Andrew J Kirsch
Mar 2, 2016·The Journal of Urology·Geolani W DyJonathan D Harper
Oct 30, 2016·The Journal of Urology·Paulo Renato Marcelo MoscardiRoberto Iglesias Lopes
Feb 7, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Minki BaekChester J Koh
Apr 30, 2016·Surgical Endoscopy·Mei DiaoWei Cheng
May 3, 2018·Annals of the Royal College of Surgeons of England·Luke A McGuinness, Bhavan Prasad Rai
Sep 29, 2018·Asian Journal of Endoscopic Surgery·Kentaro MizunoYutaro Hayashi
Feb 9, 2019·Frontiers in Pediatrics·Ramphis A Morales-LópezMarcos Pérez Brayfield
Apr 19, 2018·Current Urology Reports·Diana K BowenArun K Srinivasan
Oct 6, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Xu CuiChao-Ming Zhou
Aug 5, 2020·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Lorenzo MasieriMarco Carini
Nov 19, 2020·Research and Reports in Urology·Guglielmo ManticaCarlo Terrone
Nov 22, 2020·Journal of Pediatric Urology·Sanni VäreläMartin Salö
Mar 27, 2021·Journal of Pediatric Urology·Sameer MittalAseem R Shukla

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