Robot-assisted laparoscopic ureteric reimplantation: extravesical technique

作者：Dangle Pankaj P^*; Shah Anup; Gundeti Mohan S

来源：BJU International, 2014, 114(4): 630-632.

DOI：10.1111/bju.12813

• robotic
• reimplantation
• ureter
• extravesical

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.

• 出版日期2014-10