Korean J Urol.  2014 Apr;55(4):288-291. 10.4111/kju.2014.55.4.288.

Infant Robotic Bilateral Upper Urinary Tract Surgery

Affiliations
  • 1Division of Pediatric Urology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. paul.noh@cchmc.org

Abstract

We describe a case of robot-assisted laparoscopic bilateral upper urinary tract surgery in a 4-month-old infant for complex bilateral upper urinary tract duplication anomalies.

Keyword

Infant; Pediatrics; Robotics

MeSH Terms

Humans
Infant*
Pediatrics
Robotics
Urinary Tract*

Figure

  • FIG. 1 Preoperative ultrasound demonstrating purulent urine throughout the urinary tract. (A) Right upper pole renal moiety with pyonephrosis. (B) Left upper pole renal moiety with pyonephrosis. (C) Right ureterocele with purulent urine. (D) Tc-99m-MAG3 renogram.

  • FIG. 2 Postoperative appearance of trocar sites 6 weeks after surgery.

  • FIG. 3 Intraoperative appearance of left upper to lower ureteroureterostomy after posterior wall anastomosis had been completed.

  • FIG. 4 Intraoperative appearance of the ischemic right upper pole renal moiety after the upper pole vessels were divided with the LigaSure.

  • FIG. 5 Postoperative ultrasound 6 weeks after surgery. (A) Right kidney. (B) Left kidney.


Reference

1. Fuchs J, Luithle T, Warmann SW, Haber P, Blumenstock G, Szavay P. Laparoscopic surgery on upper urinary tract in children younger than 1 year: technical aspects and functional outcome. J Urol. 2009; 182:1561–1568.
2. Kutikov A, Nguyen M, Guzzo T, Canter D, Casale P. Robot assisted pyeloplasty in the infant-lessons learned. J Urol. 2006; 176:2237–2239.
3. González R, Piaggio L. Initial experience with laparoscopic ipsilateral ureteroureterostomy in infants and children for duplication anomalies of the urinary tract. J Urol. 2007; 177:2315–2318.
4. Storm DW, Modi A, Jayanthi VR. Laparoscopic ipsilateral ureteroureterostomy in the management of ureteral ectopia in infants and children. J Pediatr Urol. 2011; 7:529–533.
5. Lee RS, Sethi AS, Passerotti CC, Retik AB, Borer JG, Nguyen HT, et al. Robot assisted laparoscopic partial nephrectomy: a viable and safe option in children. J Urol. 2009; 181:823–828.
Full Text Links
  • KJU
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr