Robot-assisted laparoscopic ureteral reimplantation in children: a valuable alternative to open surgery

Gerber, Jonathan A.; Koh, Chester J.

doi:10.1007/s00345-019-02766-y

Cited by 20 publications

(7 citation statements)

References 35 publications

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“…Danas se megaureter kao i hidronefroza, zbog pra ćenja trudnica ultrazvukom, otkriva najčešće prena talno. U 80% djece se otkriva u asimptomatskoj fazi 7,18 . Pristup liječenju megauretera može biti konzervativan ili kirurški.…”

Section: Megaureter / Ureterohidronefrozaunclassified

Surgical approach to the treatment of urinary tract anomalies

2022

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Ključne riječi ANOMALIJE MOKRAĆNOG SUSTAVA; ANOMALIJE BUBREGA; KIRURŠKO LIJEČENJE SAŽETAK. Anomalije mokraćnog sustava su najčešće kongenitalne anomalije uopće i uključuju različite promjene oblika, položaja i mase bubrega, promjene krvožilnog sustava bubrega, cistične bolesti bubrega, anomalije položaja bubrega, anomalije uretera, mokraćnog mjehura i mokraćne cijevi. Čine oko 30% svih kongenitalnih anomalija. Danas nam u liječenju prirođenih anomalija mokraćnog sustava na raspolaganju stoje brojne kirurške metode (endoskopske, minimalno invazivne i klasične). U ovom preglednom radu prikazujemo najčešće anomalije mokraćnog sustava u djece i modalitete kirurškog liječenja.

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Section: Megaureter / Ureterohidronefrozaunclassified

Surgical approach to the treatment of urinary tract anomalies

2022

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“…The Da Vinci robot has features of high-definition, 3D imaging, flexible wrist with 7 degrees of freedom, which are able to overcome the technical bottleneck of laparoscopic surgery and suitable for more complex reconstructive surgery. These advantages have expanded its application in the field of pediatric surgery, especially in pediatric urinary tract reconstruction [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Single-port-plus-one robot-assisted laparoscopic Lich–Gregoir direct nipple ureteral extravesical reimplantation in pediatric primary obstructive megaureter, comparing to laparoscopic cohen

Lin,

Xu,

et al. 2024

Eur J Med Res

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Purpose To compare the effects of a single-port-plus-one robotic laparoscopic-modified Lich–Gregoir direct nipple approach and traditional laparoscopic Cohen in treating pediatric primary obstructive megaureter. Materials and methods The clinical data of 24 children with primary obstructive megaureter from January 2021 to November 2021 were analyzed retrospectively. Among them, 12 children (8 boys and 4 girls, the average age were 17.17 ± 6.31 months) treated with the laparoscopic Cohen method were defined as group C. The remaining 12 children (7 boys and 5 girls, the average age was 17.33 ± 6.99 months) underwent single-port-plus-one robotic laparoscopic-modified Lich–Gregoir direct nipple ureteral extravesical reimplantation were defined as group L. The parameters of pre-operation, intraoperative and postoperative were compared. Results There were no differences in the patient characteristics and average follow-up time between the two groups (P > 0.05).The obstruction resolution rate was 100% in both groups. The total operation time in group L is slightly longer than that in group C(P < 0.001),but the intraperitoneal operation time of the two groups was comparable(P > 0.05). The postoperative parameters included blood loss, gross haematuria time, indwelling catheterization time and hospitalization time in group L is shorter than group C(P < 0.05). One year post-operation, decreasing in ureteral diameter and APRPD, and increasing in DRF were remarkably observed in both two groups(P < 0.05). Ureteral diameter, APRPD, and DRF were not significantly different both in pre-operation and post-operation between Group L and Group C(P > 0.05). Conclusion Single-port-plus-one robot-assisted laparoscopic-modified Lich–Gregoir direct nipple approach and traditional laparoscopic Cohen are both dependable techniques for ureteral reimplantation in the treatment of pediatric primary obstructive megaureter. Since Lich–Gregoir can preserve the physiological direction of the ureter and direct nipple reimplantation enhances the effect of anti-refluxing, this technique is favorable for being promoted and applied in robot surgery.

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“…Though initially adopted in adult urologic procedures, the use of robotic-assisted technique is increasing in pediatric patients [ 5 – 7 ]. The clinical advantages of Da Vinci surgical system include stabilization of instruments within the surgical field, mechanical advantages over traditional laparoscopy, improved ergonomics for the operating surgeon, and superior visualization including three-dimensional imaging of the operative field [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted resection of benign splenic tumors in children

Cai,

Ying,

Fan

et al. 2023

Langenbecks Arch Surg

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Purpose Robotic surgery is becoming increasingly widely used in the field of pediatric surgery. The present study aimed to evaluate the safety and feasibility of robot-assisted resection of benign pediatric splenic tumors and to discuss the technical points. Methods A total of 32 patients who were diagnosed with benign splenic tumors and underwent minimally invasive surgery from January 2017 to September 2023 were included in the study. The clinical data including demographic criteria, operative details, and postoperative outcomes were analyzed retrospectively. Results Thirteen patients underwent robot-assisted surgery, and 19 patients underwent laparoscopic surgery. The median operation time was 150 min, with an interquartile range (IQR) of 120 to 200 min for the robot-assisted group and 140 min with an IQR of 105 to 180 min in the laparoscopic group (P = 0.318). Despite four cases in the laparoscopic group (21%) being converted to laparotomy because of intraoperative bleeding, compared with none in the robot-assisted group, there was no significant difference between two groups (P = 0.128). The intraoperative volume of blood loss was significantly less (P = 0.041), and the hospitalization expense was significantly higher (P = 0.000) in the robot-assisted group than for the laparoscopic group. There was no significant difference in patients’ age, tumor size, postoperative feeding time, and the postoperative hospitalization time between two groups (P > 0.05). Conclusion Robot-assisted benign splenic tumor resection was safe and feasible, and it reduced surgical trauma for the pediatric patient.

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Robot-assisted laparoscopic ureteral reimplantation in children: a valuable alternative to open surgery

Cited by 20 publications

References 35 publications

Surgical approach to the treatment of urinary tract anomalies

Surgical approach to the treatment of urinary tract anomalies

Single-port-plus-one robot-assisted laparoscopic Lich–Gregoir direct nipple ureteral extravesical reimplantation in pediatric primary obstructive megaureter, comparing to laparoscopic cohen

Robot-assisted resection of benign splenic tumors in children

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