Robotic Appendicovesicostomy Revision in Children: Description of Technique and Initial Results

Chung, Paul H.; De, Shuvro; Gargollo, Patricio C.

doi:10.1089/end.2014.0550

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…One report of minor incontinence was successfully managed with injection of dextranomer/hyaluronic acid via the Mitrofanoff. One postoperative urinary leakage which required open repair which was reported [49] , [50] . Initial reports of the use of robotic assistance for revision of appendicovesicostomy has been reported in a series of three patients with minimal blood loss and restoration of continence at median follow-up of 5 months [51] .…”

Section: Surgeriesmentioning

confidence: 96%

Robotic surgery in pediatric urology

Howe

Kozel

Palmer

2017

Asian Journal of Urology

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While robotic surgery has shown clear utility and advantages in the adult population, its role in pediatrics remains controversial. Pediatric-sized robotic instruments and equipment are not readily available yet, so certain modifications can be made in order to make robotic surgery successful in children. While the cost of robotic surgery remains high compared to open procedures, patients experience greater satisfaction and quality of life with robotic surgery. Robotic pyeloplasty is a standard of care in older children, and has even been performed in infants and re-do surgery. Other robotic procedures performed in children include heminephroureterectomy, ureteroureterostomy, ureteral reimplantation, urachal cyst excision, bladder diverticulectomy, and bladder reconstructive procedures such as augmentation, appendicovesicostomy, antegrade continence enema, bladder neck reconstruction and sling, as well as other procedures. Robotic surgery has also been used in oncologic cases such as partial nephrectomy and retroperitoneal lymph node dissection. Future improvements in technology with production of pediatric-sized robotic instruments, along with increases in robotic-trained pediatric urologists and surgeon experience along each's learning curve, will help to further advance the field of robotic surgery in pediatric urology.

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Section: Surgeriesmentioning

confidence: 96%

Robotic surgery in pediatric urology

Howe

Kozel

Palmer

2017

Asian Journal of Urology

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“…Но нельзя не учитывать очень малый опыт подобных операций, поэтому окончательные выводы делать слишком рано. Не вызывают сомнения такие достоинства робот-ассистированной аппендиковезикостомии, как меньшая инвазивность, вследствие чего происходит более быстрое восстановление и сокращение сроков пребывания в стационаре, меньшее применение анальгетиков в послеоперационном периоде и несомненно более выгодные косметические результаты по сравнению с открытой операцией [38,39].…”

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Modern view on the problem of urine diversion in children with severe urinary disorders

Ignatyev

Гусева

Борисовна³

et al. 2021

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Urination is a complex multicomponent process. Urinary disorders often lead to serious consequences on the urinary system, social maladaptation, and impairment of the quality of children's lives. Due to the large number of pathologies leading to these disorders and the involvement of several systems (for example, the nervous system in myelodysplasia), the doctor must be extensively knowledgeable and experienced in related fields. Surgical methods of urinary diversion have a long history. Surgeons worldwide have been trying to solve this problem for many decades, but it remains relevant and unsolved. The wide variety of urinary disorders has a correspondingly impressive number of types and options of surgical interventions. The goals of these surgical techniques are to correct the anatomical and clinical aspects of the disorders and assure the childs socio-psychological adaptation. Surgeons must consider many factors such as all the pathogenetic nuances of an underlying disease, comorbidities, the childs constitutional features, prospects for his or her social adaptation, the family home environment, parents willingness to and focus on long and challenging treatment. Based on these details, it is evident that urinary diversion in children is a multifaceted problem. It requires a very careful and individualized approach to each patient to ensure choosing the optimal treatment method in each case. This choice will affect many aspects of the childs life, including his or her social adaptation, the ability to obtain an education and lead an almost normal lifestyle. The aim of this study is to review and systematize the accumulated knowledge on this subject.

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