Robot-assisted laparoscopic ureteric reimplantation: Extravesical technique

Academic Article

Abstract

  • © 2014 The Authors. BJU International © 2014 BJU International. 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.
  • Authors

    Published In

  • BJU International  Journal
  • Digital Object Identifier (doi)

    Author List

  • Dangle PP; Shah A; Gundeti MS
  • Start Page

  • 630
  • End Page

  • 632
  • Volume

  • 114
  • Issue

  • 4