Robotic Assisted Laparoscopic Ureteral Reimplantation in Children: Case Matched Comparative Study With Open Surgical Approach

Marchini, Giovanni Scala; Hong, Young Kwon; Minnillo, Brian J.; Diamond, David A.; Houck, Constance S.; Meier, Petra M.; Passerotti, Carlo C.; Kaplan, Joshua R.; Retik, Alan B.; Nguyen, Hiep T.

doi:10.1016/j.juro.2010.12.069

Cited by 154 publications

(94 citation statements)

References 17 publications

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“…As reported previously, the technique is shown to be safe and effective [8,9,12,13,17] . Although the technique remains challenging, robotics certainly add to the precision and ease of most surgical steps when compared to conventional laparoscopy.…”

Section: Discussionsupporting

confidence: 69%

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Robotic Extravesical Anti-Reflux Operations in Complex Cases: Technical Considerations and Preliminary Results

Callewaert

Biallosterski²,

Rahnama’i³

et al. 2011

Urol Int

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Objectives: To evaluate technical aspects and outcome of robotic laparoscopic extravesical anti-reflux surgery in the treatment of high-grade vesicoureteral reflux (VUR) with associated complicating conditions. Materials and Methods: Retrospective database and chart reviews were performed to identify a subgroup of patients with high-grade VUR who underwent robot-assisted anti-reflux surgery using the extravesical Lich-Gregoir repair and who additionally had preoperatively known complicating factors. Five such patients were operated on from 2005 to 2009. All had bilateral VUR, bladder dysfunction, breakthrough infections, renal scarring or at least one of the following complicating factors: posterior urethral valve bladders, duplex systems or para-ostial diverticula. Outcome and surgical aspects were assessed. Results: At follow-up 9 of 10 ureters were free of reflux and diverticulae had disappeared completely. No lasting urinary retentions occurred but two boys needed reinsertion of a catheter for 24 h after surgery. No further complications were noted. There were no signs of obstruction, infections did not persist and there was no negative effect on bladder function. Dissection of para-ostial diverticula seemed the only additional technical challenge. Conclusions: Robot-assisted extravesical anti-reflux surgery seems a promising technique in the operative management of this unfavorable subset of patients. Reflux cure rate is higher than expected using injection therapy and at the same time morbidity seems lower than with open surgery. Further experience is needed to confirm these first impressions.

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Section: Discussionsupporting

confidence: 69%

“…Both intra-and extravesical laparoscopic approaches have been described [4][5][6] . This type of surgery can be technically challenging, but since the introduction of robot-assisted laparoscopy especially the extravesical Lich-Gregoir detrusorraphy technique seems a feasible and reasonable treatment option [7][8][9][10][11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

Robotic Extravesical Anti-Reflux Operations in Complex Cases: Technical Considerations and Preliminary Results

Callewaert

Biallosterski²,

Rahnama’i³

et al. 2011

Urol Int

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“…54 Marchini et al recently reported their outcomes with both intravesical and extravesical robotic-assisted laparoscopic ureteral reimplantation. 55 Compared to case-matched controls consisting of patients who underwent intravesical or extravesical open ureteral reimplantation, there was no difference in either clinically or radiologically defined success, and the robotic approach was associated with reduced bladder spasm, hematuria, catheter duration, and hospital stays. However, in the early phase of this series, the various complications of the robotic approach, ie, postoperative urinary retention and bladder and ureteral leak, led to a higher rate of reintervention.…”

Section: Minimally Invasive Approachesmentioning

confidence: 89%

Current management of vesicoureteral reflux in pediatric patients: a review

Weinberg¹,

Hsieh

2013

PHMT

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Vesicoureteral reflux (VUR) is both a functional and anatomic pediatric disorder arising from incompetence of the ureterovesical junction. Some children with VUR remain entirely asymptomatic, while others may develop pyelonephritis, renal scarring, and potentially progressive renal insufficiency. There are still many areas of VUR diagnosis, management, and timing of intervention that remain controversial today. This review attempts to synthesize the best available current evidence from the literature dealing with VUR screening, diagnosis, and treatment in order to provide the practitioner with an organized and evidence-based approach to the disease.

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“…In recent years experiences with RALUR have been accumulated, and various case series have been published. Marchini et al [11] reported lack of any difference among open, and robotic intravesical, and extravesical approaches as for VUR resolution, and operative times. When compared with open surgery, shorter hospital stay, and less frequent vesical spasms were observed in the intravesical robotic group.…”

Section: Discussionmentioning

confidence: 99%

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

Kïbar

Yalçın

Kaya

et al. 2017

Turkish Journal of Urology

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Objective: Robotic surgery is a leading treatment option for minimally invasive surgery and has an increasing popularity in pediatric population, as well. In this article, we reported our case series of robot-assisted laparoscopic surgery in pediatric population. Material and methods:We retrospectively reviewed 29 consecutive pediatric patients who underwent robot-assisted procedures between May 2014 and October 2016. Patient demographics, hospitalization time, estimated blood loss, robotic time and total operative and peri-, and post-operative complications were evaluated.Results: A total of 24 ureter units (18 patients) with grade 1-5 vesicoureteral reflux in 13 female and 5 male, 1 male patient with vesicoureteral stenosis were underwent robot-assisted laparoscopic ureteral reimplantation (RALUR). All patients had complete resolution after surgery. Robot-assisted laparoscopic pyeloplasty (RALP) was performed in 6 patients with ureteropelvic junction obstruction. All patients had complete resolution after surgery. Completely intracorporeal robotic assisted laparoscopic augmentation ileocystoplasty (RLAIC) was applied to two patients with neurogenic bladder. The symptoms and preoperative hydronephrosis were regressed on the first month of follow-up. Robot-assisted laparoscopic reduction cystoplasty (RALRC) was performed in 14-year-old boy with a bladder diverticula and recurrent urinary tract infection. The last case was eleven-year-old female patient with non-functioning kidney. She had recurrent urinary tract infections and was treated with robotic assisted laparoscopic nephrectomy (RALN). Conclusion:Robot-assisted laparoscopic surgery is safe and efficient in pediatric population. Although open surgery is still the gold standard for many pediatric diseases, inherent reconstructive advantages of robotic assisted laparoscopy have a chance to change this view.

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Robotic Assisted Laparoscopic Ureteral Reimplantation in Children: Case Matched Comparative Study With Open Surgical Approach

Cited by 154 publications

References 17 publications

Robotic Extravesical Anti-Reflux Operations in Complex Cases: Technical Considerations and Preliminary Results

Robotic Extravesical Anti-Reflux Operations in Complex Cases: Technical Considerations and Preliminary Results

Current management of vesicoureteral reflux in pediatric patients: a review

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

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