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Robotic Surgery of the Kidney and Ureter in the Pediatric Population

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Robotic Surgery

Abstract

Although robotics was adopted earlier for adult urologic surgery, the field of pediatric urology has expanded its use dramatically over the last two decades. Most commonly in children, this new technology is utilized for treatment of ureteropelvic junction obstruction with laparoscopic pyeloplasty; however its benefits are applicable to almost all surgeries of the kidney and ureter. This is particularly true for pediatric patients in whom working spaces tend to be smaller, tissues more friable, and suture finer. In this chapter we aim to describe techniques, outcomes, and pitfalls for robotic surgery of the upper urinary tract in children.

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References

  1. Cortesi N, Ferrari P, Zambarda E, Manenti A, Baldini A, Morano FP. Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy. 1976;8:33.

    Article  CAS  PubMed  Google Scholar 

  2. Atug F, Woods M, Burgess SV, Castle EP, Thomas R. Robotic assisted laparoscopic pyeloplasty in children. J Urol. 2005;174:1440–2.

    Article  PubMed  Google Scholar 

  3. Yee DS, Shanberg AM. Robotic-assisted laparoscopic ureteroureterostomy in an adolescent with an obstructed upper pole system and crossed renal ectopia with fusion. Urology. 2006;68:673.

    Article  PubMed  Google Scholar 

  4. Peters CA, Woo R. Intravesical robotically assisted bilateral ureteral reimplantation. J Endourol. 2005;19:618–21.

    Article  PubMed  Google Scholar 

  5. Pedraza R, Palmer L, Moss V, Franco I. Bilateral robotic assisted laparoscopic heminephroureterectomy. J Urol. 2004;171:2394–5.

    Article  PubMed  Google Scholar 

  6. Peters CA, Schlussel RN, Retik AB. Pediatric laparoscopic dismembered pyeloplasty. J Urol. 1995;153:1962–5.

    Article  CAS  PubMed  Google Scholar 

  7. Volfson IA, Munver R, Esposito M, Dakwar G, Hanna M, Stock JA. Robot-assisted urologic surgery: safety and feasibility in the pediatric population. J Endourol. 2007;21:1315–8.

    Article  PubMed  Google Scholar 

  8. Yee DS, Shanberg AM, Duel BP, Rodriguez E, Eichel L, Rajpoot D. Initial comparison of robotic-assisted laparoscopic versus open pyeloplasty in children. Urology. 2006;67:599–602.

    Article  PubMed  Google Scholar 

  9. Lee RS, Retik AB, Borer JG, Peters CA. Pediatric robot assisted laparoscopic dismembered pyeloplasty: comparison with a cohort of open surgery. J Urol. 2006;175:683–7.

    Article  PubMed  Google Scholar 

  10. Sorensen MD, Delostrinos C, Johnson MH, Grady RW, Lendvay TS. Comparison of the learning curve and outcomes of robotic assisted pediatric pyeloplasty. J Urol. 2011;185:2517–22.

    Article  PubMed  Google Scholar 

  11. Ismaili K, Hall M, Donner C, Thomas D, Vermeylen D, Avni FE, et al. Results of systematic screening for minor degrees of fetal renal pelvis dilatation in an unselected population. Am J Obstet Gynecol. 2003;188:242–6.

    Article  PubMed  Google Scholar 

  12. Brown T, Mandell J, Lebowitz RL. Neonatal hydronephrosis in the era of sonography. Am J Roentgenol. 1987;148:959–63.

    Article  CAS  Google Scholar 

  13. Kavoussi LR, Peters CA. Laparoscopic pyeloplasty. J Urol. 1993;150:1891–4.

    Article  CAS  PubMed  Google Scholar 

  14. Gargollo PC. Hidden incision endoscopic surgery: description of technique, parental satisfaction and applications. J Urol. 2011;185:1425–31.

    Article  PubMed  Google Scholar 

  15. Hotaling JM, Shear S, Lendvay TS. 14-Gauge angiocatheter: the assist port. J Laparoendosc Adv Surg Tech. 2009;19(5):699–701.

    Article  Google Scholar 

  16. Godbole P, Mushtaq I, Wilcox DT, Duffy PG. Laparoscopic transposition of lower pole vessels – the ‘vascular hitch’: an alternative to dismembered pyeloplasty for pelvi-ureteric junction obstruction in children. J Pediatr Urol. 2006;2:285–9.

    Article  CAS  PubMed  Google Scholar 

  17. Ginger VA, Lendvay TS. Intraoperative ultrasound: application in pediatric pyeloplasty. Urology. 2009;73:377–9.

    Article  PubMed  Google Scholar 

  18. Poulsen EU, Jørgensen TM, Taagehøj-Jensen F, Djurhuus JC. The functional outcome of Anderson-Hynes pyeloplasty for hydronephrosis. Scand J Urol Nephrol. 1987;21:213–7.

    Article  CAS  PubMed  Google Scholar 

  19. Salem YH, Majd M, Rushton HG, Belman AB. Outcome analysis of pediatric pyeloplasty as a function of patient age, presentation and differential renal function. J Urol. 1995;154:1889–93.

    Article  CAS  PubMed  Google Scholar 

  20. Houben CH, Wischermann A, Börner G, Slany E. Outcome analysis of pyeloplasty in infants. Pediatr Surg Int. 2000;16:189–93.

    Article  CAS  PubMed  Google Scholar 

  21. Lee RS, Sethi AS, Passerotti CC, Retik AB, Borer JG, Nguyen HT, Peters CA. Robot assisted laparoscopic partial nephrectomy: a viable and safe option in children. J Urol. 2009;181:823–8.

    Article  PubMed  Google Scholar 

  22. Lakshmanan Y, Fung LC. Laparoscopic extravesicular ureteral reimplantation for vesicoureteral reflux: recent technical advances. J Endourol. 2000;14:589–93.

    Article  CAS  PubMed  Google Scholar 

  23. Gill IS, Ponsky LE, Desai M, Kay R, Ross JH. Laparoscopic cross-trigonal Cohen ureteroneocystostomy: novel technique. J Urol. 2001;166:1811–4.

    Article  CAS  PubMed  Google Scholar 

  24. Kutikov A, Guzzo TJ, Canter DJ, Casale P. Initial experience with laparoscopic transvesical ureteral reimplantation at the Children’s Hospital of Philadelphia. J Urol. 2006;176:2222–5.

    Article  PubMed  Google Scholar 

  25. Lich R Jr, Howerton LW, Davis LA. Childhood urosepsis. J Ky Med Assoc. 1961;59:1177.

    PubMed  Google Scholar 

  26. Thakre AA, Bailly Y, Sun LW, Van Meer F, Yeung CK. Is smaller workspace a limitation for robot performance in laparoscopy? J Urol. 2008;179:1138–42.

    Article  CAS  PubMed  Google Scholar 

  27. Casale P, Patel RP, Kolon TF. Nerve sparing robotic extravesical ureteral reimplantation. J Urol. 2008;179:1987–9.

    Article  PubMed  Google Scholar 

  28. Lendvay T. Robotic-assisted laparoscopic management of vesicoureteral reflux. Adv Urol. 2008, 2008:732942. (online).

    Google Scholar 

  29. Olsen LH, Deding D, Yeung CK, Jørgensen TM. Computer assisted laparoscopic pneumovesical ureter reimplantation a.m. Cohen: initial experience in a pig model. APMIS Acta Pathologica Microbiologica Et Immunologica Scandinavica Suppl. 2003;109:23–5.

    Google Scholar 

  30. Casale P. Robotic pediatric urology. Curr Urol Rep. 2009;10:115–8.

    Article  PubMed  Google Scholar 

  31. Grimsby GM, Dwyer ME, Jacobs MA, Ost MC, Schneck FX, Cannon GM, Gargollo PC. Multi-institutional review of outcomes of robot-assisted laparoscopic extravesical ureteral reimplantation. J Urol. 2015;193(5 Suppl):1791–5. https://doi.org/10.1016/j.juro.2014.07.128. Epub 2014 Oct 7.

    Article  PubMed  Google Scholar 

  32. Boysen WR, Akhavan A, Ko J, Ellison JS, Lendvay TS, Huang J, et al. Prospective multicenter study on robot-assisted laparoscopic extravesical ureteral reimplantation (RALUR-EV): outcomes and complications. J Pediatr Urol. 2018;14(3):262.e1–6. https://doi.org/10.1016/j.jpurol.2018.01.020. Epub 2018 Feb 20.

    Article  Google Scholar 

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Correspondence to Micah A. Jacobs .

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Lendvay, T.S., Jacobs, M.A. (2021). Robotic Surgery of the Kidney and Ureter in the Pediatric Population. In: Gharagozloo, F., Patel, V.R., Giulianotti, P.C., Poston, R., Gruessner, R., Meyer, M. (eds) Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-53594-0_106

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  • DOI: https://doi.org/10.1007/978-3-030-53594-0_106

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