Robot‐assisted laparoscopic ureteric reimplantation: extravesical technique. (14th August 2014)

• Record Type: Journal Article
• Authors: Dangle, Pankaj P.; Shah, Anup; Gundeti, Mohan S.
• Is Part Of: BJU international. Volume 114:Number 4(2014:Oct.)
• Page Start: 630
• Page End: 632
• Publication Date: 2014-08-14
• Subjects: Genitourinary organs -- Diseases -- Periodicals; Genitourinary organs -- Surgery -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1111/bju.12813
• Languages: English
• ISSNs: 1464-4096

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="bju12813-sec-0001" sec-type="section"> <title>Objectives</title> <p>To describe our standardised approach to performing robot‐assisted extravesical ureteric reimplantation.</p> </sec> <sec id="bju12813-sec-0002" sec-type="section"> <title>Patients and Methods</title> <p>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.</p> </sec> <sec id="bju12813-sec-0003" sec-type="section"> <title>Results</title> <p>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.</p> </sec> <sec id="bju12813-sec-0004" sec-type="section"> <title>Conclusions</title> <p>In conclusion, robot‐assisted extravesical ureteric reimplantation is technically feasible with acceptable resolution of VUR.</p> </sec> </abstract>