Abstract
Vesico-ureteral reflux is a common anomaly encountered in pediatric urology practice. The diagnosis is generally made by voiding cystourethrogram (VCUG). Although not all cases of vesico-ureteral reflux need to be repaired, in cases of recurrent urinary tract infections (UTIs) or persistent high-grade reflux, surgical correction is a potential intervention to prevent pyelonephritis and future renal scarring. Due to the high postoperative morbidity associated with open reimplantation, minimally invasive techniques have been developed as alternatives. The advent of surgical telemanipulator or robotic systems solved the ergonomic problems associated with conventional laparoscopic anti-reflux surgery. Robot-assisted extravesical ureteral reimplantation (REVUR) has been proven as a safe and effective alternative to open reimplantation.
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References
Esposito C, Masieri L, Steyaert H, Escolino M, Cerchione R, La Manna A, et al. Robot-assisted extravesical ureteral reimplantation (revur) for unilateral vesico-ureteral reflux in children: results of a multicentric international survey. World J Urol. 2018;36(3):481–8.
Arlen AM, Broderick KM, Travers C, Smith EA, Elmore JM, Kirsch AJ. Outcomes of complex robot-assisted extravesical ureteral reimplantation in the pediatric population. J Pediatr Urol. 2016;12:169.e1–6.
Lendvay T. Robotic-assisted laparoscopic management of vesicoureteral reflux. Ther Adv Urol. 2008; https://doi.org/10.1155/2008/732942.
Joseph JP, Gundeti MS. Robot-assisted anterior wall extravesical ureteral reimplantation. J Pediatr Urol. 2015;11:45–6.
Dangle PP, Shah A, Gundeti MS. Robot-assisted laparoscopic ureteric reimplantation: extravesical technique. BJU Int. 2014;114:630–2.
Esposito C, Varlet F, Riquelme MA, Fourcade L, Valla JS, Ballouhey Q, Scalabre A, Escolino M. Postoperative bladder dysfunction and outcomes after minimally invasive extravesical ureteric reimplantation in children using a laparoscopic and a robot-assisted approach: results of a multicentre international survey. BJU Int. 2019;124(5):820–7.
Leissner J, Allhoff EP, Wolff W, et al. The pelvic plexus and antireflux surgery: topographical findings and clinical consequences. J Urol. 2001;165:1652–5.
Casale P, Patel RP, Kolon TF. Nerve sparing robotic extravesical ureteral reimplantation. J Urol. 2008;179:1987–90.
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Esposito, C., Cerulo, M., Del Conte, F., Coppola, V., Escolino, M. (2021). Extravesical Ureteral Reimplantation (Lich-Gregoir). In: Lacher, M., Muensterer, O.J. (eds) Video Atlas of Pediatric Endosurgery (VAPE). Springer, Cham. https://doi.org/10.1007/978-3-030-58043-8_34
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DOI: https://doi.org/10.1007/978-3-030-58043-8_34
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