Robot-assisted laparoscopic ipsilateral ureteroureterostomy for ectopic ureters in children: description of technique

Journal of Endourology
David A LeavittA R Shukla

Abstract

We report our experience and present our technique with the robot-assisted laparoscopic ipsilateral ureteroureterostomy (IUU) in the management of ureteral duplication with ectopia in children. We reviewed our institutional experience for all patients who underwent a robot-assisted laparoscopic IUU at the University of Minnesota Amplatz Children's Hospital between December 2010 and October 2011. An intraoperative, three-port technique was used after a ureteral stent was placed into the ipsilateral lower pole. Demographic information, diagnosis, operative time, hospital course, complications, and follow-up were all evaluated. Our series included four female patients and one male patient with a mean age of 61 months (6 to 182 mos). All five had a diagnosis of upper pole ectopic ureters, one of which was associated with an ureterocele. Mean total operative time was 225 minutes (181 to 253 min), and mean hospital stay was 1.2 days (1-2 days). There were no intraoperative complications. In follow-up, at the time of ureteral stent removal, pyelonephritis developed in one patient, but all patients had resolution of their presenting symptoms including urinary tract infections and incontinence. A significant reduction in upper pole hydr...Continue Reading

References

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Citations

Mar 26, 2013·Journal of Pediatric Urology·Guy HidasIrene McAleer
Mar 13, 2014·Journal of Endourology·Yong Seong LeeKi Kyung Kim
Jul 11, 2014·Journal of Endourology·Gwen M GrimsbyPatricio C Gargollo
Dec 3, 2014·The Urologic Clinics of North America·Matthew D Timberlake, Sean T Corbett
Mar 26, 2014·Journal of Pediatric Urology·Danesh BansalPaul H Noh
Dec 3, 2014·Journal of Pediatric Urology·Diana K BowenEdward M Gong
Nov 5, 2015·Journal of Robotic Surgery·Victor Kapoor, Jack S Elder
Aug 16, 2016·Journal of Pediatric Urology·Daniel HerzJennifer Smith
Feb 12, 2019·Journal of Veterinary Internal Medicine·Cleo P RogatkoDemetrius Bagley
Feb 25, 2018·Current Urology Reports·Hoang-Kim Le, George Chiang
Sep 5, 2018·Annals of the Royal College of Surgeons of England·Joshua Cave, Simon Clarke
Feb 25, 2017·Current Urology Reports·Jason E Michaud, Ardavan Akhavan
Aug 20, 2019·Journal of Endourology
Jul 16, 2021·The Journal of Small Animal Practice·Z P GreenfieldC W Weisse

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