Prospective multicenter study on robot-assisted laparoscopic extravesical ureteral reimplantation (RALUR-EV): Outcomes and complications

Boysen, William R.; Akhavan, Ardavan; Ko, Joan; Ellison, Jonathan S.; Lendvay, Thomas S.; Huang, Jonathan; Garcia-Roig, Michael; Kirsch, Andrew J.; Koh, Chester J.; Schulte, Marion; Noh, Paul H.; Monn, M. Francesca; Whittam, Benjamin; Kawal, Trudy; Shukla, Aseem R.; Srinivasan, Arun K.; Gundeti, Mohan S.

doi:10.1016/j.jpurol.2018.01.020

Cited by 58 publications

(31 citation statements)

References 31 publications

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“…A robotic extravesical ureteral reimplantation was recommended instead of gold standard open surgery because of the patient's older age, consistent with the surgeon's practice for unilateral VUR in older children who undergo reimplantation. Earlier reports on the robotic extravesical technique showed a success rate of 72%, 2 but a contemporary report with more patients had a success rate >90%, 3 indicating there was a learning curve associated with the procedure and that it is a safe and effective option.…”

Section: Casementioning

confidence: 98%

“…1 Several different surgical techniques have been reported in the correction of transplant VUR. Pediatric robotic extravesical ureteral reimplantation has been shown to be a safe and effective method of VUR correction in native kidneys, 2,3 but to the best of our knowledge, there have been no published reports of this approach to correct VUR in a pediatric transplant allograft. Effective treatment utilizing robotic surgery for pediatric transplant VUR is described.…”

Section: Introductionmentioning

confidence: 99%

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Pediatric Robotic Transplant Ureteral Reimplantation for Vesicoureteral Reflux

Corbett

Noh

2020

Journal of Endourology Case Reports

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Background: The first published report of a pediatric robotic extravesical transplant ureteral reimplantation for vesicoureteral reflux (VUR) in a renal allograft is described. Case Presentation: The patient is an 11-year-old Caucasian girl who had acute allograft pyelonephritis and was subsequently found to have dilating VUR. Conclusion: Robotic surgery facilitated an effective nondismembered extravesical reimplant with minimal morbidity.

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Section: Casementioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Pediatric Robotic Transplant Ureteral Reimplantation for Vesicoureteral Reflux

Corbett

Noh

2020

Journal of Endourology Case Reports

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“…A multi‐institutional study of complications after pediatric RALS revealed that RALUR procedures, especially bilateral cases, have relatively high complication rates (30.6%) , but a more recent study found low complication rates that were comparable to those after open surgery . Although it remains unclear whether the robotic approach reduces the morbidity associated with a ureteral reimplant , the advantages of RALUR have been demonstrated.…”

Section: Distinctive Robotic Surgeries For Pediatric Patientsmentioning

confidence: 99%

“…Several studies have shown that RALUR is associated with a shorter hospital stay and a reduced need for narcotic pain medications . Further studies are needed to identify specific patient populations that experience the greatest benefit of RALUR over alternative approaches .…”

Section: Distinctive Robotic Surgeries For Pediatric Patientsmentioning

confidence: 99%

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Robotic surgery in pediatric urology: Current status

Mizuno

Kojima

Nishio

et al. 2018

Asian J Endoscop Surgery

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Robot‐assisted laparoscopic surgery (RALS) has been increasingly embraced in the fields of adult and pediatric urology, especially in North America and Europe. The advantages of a stable magnified 3‐D view, tremor filtering, and motion scaling allow for precise intracorporeal exposure and suturing. Because most surgeries are performed as reconstructive rather than excision procedures, the robotic platform is particularly feasible for the field of pediatric urology. In this review, we summarize the recent viewpoints on RALS, such as pyeloplasty, ureteral reimplantation, bladder neck reconstruction, bladder neck sling, appendicovesicostomy, bladder diverticulectomy, and treatments for ureterocele or ectopic ureters, and we also critically summarize the current status of the literature. Based on our initial experience, RALS is technically feasible for pediatric patients and may be achieved with comparable surgical outcomes. RALS is also associated with reduced morbidity compared to open surgery to conventional laparoscopic surgery. This evolution will offer an alternative in the treatment pediatric patients, along with improved care and patient quality of life. Further large case series and randomized controlled trials that investigate the robotic platform's technological improvements will help to expand indications of RALS in the field of pediatric urology.

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Robotic Surgery of the Kidney and Ureter in the Pediatric Population

Lendvay

Jacobs

2021

Robotic Surgery

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Prospective multicenter study on robot-assisted laparoscopic extravesical ureteral reimplantation (RALUR-EV): Outcomes and complications

Cited by 58 publications

References 31 publications

Pediatric Robotic Transplant Ureteral Reimplantation for Vesicoureteral Reflux

Pediatric Robotic Transplant Ureteral Reimplantation for Vesicoureteral Reflux

Robotic surgery in pediatric urology: Current status

Robotic Surgery of the Kidney and Ureter in the Pediatric Population

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