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Robot‐assisted laparoscopic ureteric reimplantation: extravesical technique
Author(s) -
Dangle Pankaj P.,
Shah Anup,
Gundeti Mohan S.
Publication year - 2014
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.12813
Subject(s) - medicine , surgery , replantation , ureter , urology
Objectives To describe our standardised approach to performing robot‐assisted extravesical ureteric reimplantation. Patients and Methods A total of 29 children, with high grade ( III – V ) vesico‐ureteric reflux ( VUR ) underwent robot‐assisted extravesical ureteric reimplantation between S eptember 2010 and S eptember 2013. Follow‐up renal ultrasonography was performed at 1 month and 3 months and a voiding cysto‐urethrogram ( VCUG ) was obtained at 4 months to assess VUR resolution. Results The mean (range) patient age at the time of surgery was 5.38 (3.0–10.0) years. Postoperative VCUG showed complete resolution of VUR in 32/40 ureters (80%). Of the remaining refluxing ureters, downgrading of VUR on VCUG was shown in 7/8 ureters (87.5%). The mean (range) length of hospital stay was 1.8 (1–3) days. Conclusions In conclusion, robot‐assisted extravesical ureteric reimplantation is technically feasible with acceptable resolution of VUR.