Investig Clin Urol.  2016 Mar;57(2):141-145. 10.4111/icu.2016.57.2.141.

Robot-assisted "Santosh-Post Graduate Institute tubularized flap pyelovesicostomy" in a solitary functioning kidney with giant hydronephrosis: A minimally invasive salvage procedure

• Kumar S
• Singh S
• Kumar N

• KMID: 2363137
• DOI: http://doi.org/10.4111/icu.2016.57.2.141

Abstract

We describe a case of a solitary functioning kidney with giant hydronephrosis secondary to ureteropelvic junction obstruction in a young girl who underwent successful robot-assisted tubularized flap pyelovesicostomy. The aim of this report was to highlight the feasibility and efficacy of this technique in salvaging such renal moieties and to present a brief review of the surgical options available for the management of giant hydronephrosis.

Keyword

Giant hydronephrosis; Pyelovesicostomy; Robot-assisted

MeSH Terms

Adolescent
Feasibility Studies
Female
Humans
Hydronephrosis/diagnostic imaging/etiology/*surgery
Kidney Pelvis/surgery
Minimally Invasive Surgical Procedures/methods
Robotic Surgical Procedures/*methods
Salvage Therapy/methods
Tomography, X-Ray Computed
Ureteral Obstruction/complications
Urinary Bladder/surgery

Figure

• 

  Fig. 1 (A) Axial section of noncontrast computed tomography (CT) scan showing grossly hydronephrotic right kidney with atrophic left kidney. (B, C) Nephrostogram with 3-dimensional CT reconstruction showing abrupt cutoff at L-5 vertebral level. Rt, right; Lt, left; PUJ, pelvi-ureteric junction.

• 

  Fig. 2 Port placement (A), view following colon mobilization and dissection of renal pelvis (B), the renal pelvic flap with its base at the most dependent portion of the renal pelvis (C), posterior layer of tubularized flap pyelo-vesical anastomosis (D), closure of anterior layer over Foley catheter (E), completed anastomosis with tubularization of flap (F), postoperative wound (G), postoperative computed tomography nephrostogram after removal of splint showing prompt drainage of contrast in to the bladder (H).

Reference

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