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Robotic-Assisted Laparoscopic Reconstructive Surgery in the Lower Urinary Tract

  • Pediatric Urology (M Castellan and R Gosalbez, Section Editors)
  • Published:
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Abstract

Open surgery has long been the most common surgical approach for the correction of congenital anomalies of the lower urinary tract in children. With the continued development of minimally invasive surgery in adult urology, including endoscopic, conventional, and robot-assisted laparoscopic approaches, the indications for minimally invasive surgery have similarly expanded in the pediatric population. The most commonly performed robotic procedure in children has been pyeloplasty for ureteropelvic junction obstruction; the use of robotics in complex reconstructive surgery in the lower urinary tract has also been acceptable. In this review, we summarize recent viewpoints regarding robotic-assisted laparoscopic reconstructive surgeries in the lower urinary tract, such as ureteral reimplantation, appendicovesicostomy, and augmentation enterocystoplasty in the pediatric population, and critically summarize the current knowledge on outcomes in the literature. We also discuss our technique and the outcomes of robotic ureteral reimplantation. This review demonstrates that robotic-assisted laparoscopic reconstructive surgeries in the lower urinary tract are technically feasible and may achieve outcomes that are equalto those of open surgery, with reduced morbidity.

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References

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  1. Casale P, Kojima Y. Robotic-assisted laparoscopic surgery in pediatric urology: an update. Scand J Surg. 2009;98:110–9.

    PubMed  CAS  Google Scholar 

  2. Casale P, Kojima Y. Robotic surgery in pediatric urology. AUA Update Series. 2009;28:286–91.

    Google Scholar 

  3. Routh JC, Bogaert GA, Kaefer M, et al. Vesicoureteral reflux: current trends in diagnosis, screening, and treatment. Eur Urol. 2012;61:773–82.

    Article  PubMed  Google Scholar 

  4. Hayn MH, Smaldone MC, Ost MC, et al. Minimally invasive treatment of vesicoureteral reflux. Urol Clin North Am. 2008;35:477–88.

    Article  PubMed  Google Scholar 

  5. Yeung CK, Sihoe JD, Borzi PA. Endoscopic cross-trigonal ureteral reimplantation under carbon dioxide bladder insufflation: a novel technique. J Endourol. 2005;19:295–9.

    Article  PubMed  CAS  Google Scholar 

  6. Kojima Y, Mizuno K, Umemoto Y, et al. Ureteral advancement in patients undergoing laparoscopic extravesical ureteral reimplantation for treatment of vesicoureteral reflux. J Urol. 2012;188:582–7.

    Article  PubMed  Google Scholar 

  7. Gill IS, Ponsky LE, Desai M, et al. Laparoscopic cross-trigonal Cohen ureteroneocystostomy: novel technique. J Urol. 2001;166:1811–4.

    Article  PubMed  CAS  Google Scholar 

  8. Olsen LH, Deding D, Yeung CK, et al. Computer assisted laparoscopic pneumovesical ureter reimplantation a.m. Cohen: initial experience in a pig model. APMIS. 2003;109:23–5.

    Google Scholar 

  9. Orvieto MA, Large M, Gundeti MS. Robotic paediatric urology. BJU Int. 2012;110:2–13.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  11. • Marchini GS, Hong YK, Minnillo BJ, et al. Robotic assisted laparoscopic ureteral reimplantation in children: case matched comparative study with open surgical approach. J Urol. 2011;185(5):1870–5. Great case-matched comparative study between open and robot-assisted laparoscopic ureteral reimprantation.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  13. Kawauchi A, Fujito A, Soh J, et al. Laparoscopic correction of vesicoureteral reflux using the Lich-Gregoir technique: initial experience and technical aspects. Int J Urol. 2003;10:90–3.

    Article  PubMed  Google Scholar 

  14. Shu T, Cisek Jr LJ, Moore RG. Laparoscopic extravesical reimplantation for postpubertal vesicoureteral reflux. J Endourol. 2004;18:441–6.

    Article  PubMed  Google Scholar 

  15. Riquelme M, Aranda A, Rodriguez C. Laparoscopic extravesical transperitoneal approach for vesicoureteral reflux. J Laparoendosc Adv Surg Tech A. 2006;16:312–6.

    Article  PubMed  Google Scholar 

  16. Tsai YC, Wu CC, Yang SS. Minilaparoscopic nerve-sparing extravesical ureteral reimplantation for primary vesicoureteral reflux: a preliminary report. J Laparoendosc Adv Surg Tech A. 2008;18:767–70.

    Article  PubMed  Google Scholar 

  17. Lopez M, Varlet F. Laparoscopic extravesical transperitoneal approach following the Lich-Gregoir technique in the treatment of vesicoureteral reflux in children. J Pediatr Surg. 2010;45:806–10.

    Article  PubMed  Google Scholar 

  18. • Smith RP, Oliver JL, Peters CA. Pediatric robotic extravesical ureteral reimplantation: comparison with open surgery. J Urol. 2011;185:1876–81. Great comparision study between extravesical open and robot-assisted laparoscopic ureteral reimprantation.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  20. Orvieto M, Jayram G, Gundeti M. V1717 Robot-assisted laparoscopic ureteral reimplantation: The video. J Urol. 2011;185 Suppl 4:e689–90.

    Article  Google Scholar 

  21. Stanasel I, Atala A, Hemal A. Robotic assisted ureteral reimplantation: current status. Curr Urol Rep. 2013;14:32–6.

    Article  PubMed  Google Scholar 

  22. Chalmers D, Herbst K, Kim C. Robotic-assisted laparoscopic extravesical ureteral reimplantation: an initial experience. J Pediatr Urol. 2012;8:268–71.

    Article  PubMed  Google Scholar 

  23. Lipski BA, Mitchell ME, Burns MW. Voiding dysfunction after bilateral extravesical ureteral reimplantation. J Urol. 1998;159:1019–21.

    Article  PubMed  CAS  Google Scholar 

  24. Chan KW, Lee KH, Tam YH, et al. Early experience of robotic-assisted reconstructive operations in pediatric urology. J Laparoendosc Adv Surg Tech A. 2010;20:379–82.

    Article  PubMed  Google Scholar 

  25. • Kiriluk K, Rosen A, Orvieto M, Gundeti G. Modifications in technique leading to improved success of robotic extravesical ureteral reimplantation. J Urol. 187 (Suppl 4): e252 Paper presented at AUA 2012 and AUA take home message 2012. Shows evolution of technique and success.

  26. • Dangle PP, Razmaira AA, Towle VL, et al. Is pelvic plexus nerve documentation feasible during robotic assisted laparoscopic ureteral reimplantation with extravesical approach? J Pediatr Urol. 2012. doi:10.1016/j.jpurol.2012.10.018. [Epub ahead of print] Good exploratory study to identify pelvic nerve in pediatric patients by means of electrophysiologic recordings.

    PubMed  Google Scholar 

  27. • Gundeti MS, Acharya SS, Zagaja GP, et al. Paediatric robotic-assisted laparoscopic augmentation ileocystoplasty and Mitrofanoff appendicovesicostomy (RALIMA): feasibility of and initial experience with the University of Chicago technique. BJU Int. 2011;107:962–9. First series of complete intracorporeal robotic-assisted laparoscopic augmentation ileocystoplasty and Mitrofanoff appendico-vesicostomy in a paediatric population.

    Article  PubMed  Google Scholar 

  28. Wille MA, Jayram G, Gundeti MS. Feasibility and early outcomes of robotic-assisted laparoscopic Mitrofanoff appendicovesicostomy in patients with prune belly syndrome. BJU Int. 2012;109:125–9.

    Article  PubMed  Google Scholar 

  29. Gundeti MS, Eng MK, Reynolds WS, et al. Pediatric robotic-assisted laparoscopic augmentation ileocystoplasty and Mitrofanoff appendicovesicostomy: complete intracorporeal–initial case report. Urology. 2008;72:1144–7.

    Article  PubMed  Google Scholar 

  30. Lorenzo AJ, Cerveira J, Farhat WA. Pediatric laparoscopic ileal cystoplasty: complete intracorporeal surgical technique. Urology. 2007;69:977–81.

    Article  PubMed  Google Scholar 

  31. Mader TW, Liu D, Orvieto MA, et al. Simultaneous robot-assisted laparoscopic continent catheterizable channels: The split appendix technique. J Endourol Part B Videourology. 2012. doi:10.1089/vid.2012.0033.

    Google Scholar 

  32. Pedraza R, Weiser A, Franco I. Laparoscopic appendicovesicostomy (Mitrofanoff procedure) in a child using the da Vinci robotic system. J Urol. 2004;171:1652–3.

    Article  PubMed  Google Scholar 

  33. Storm DW, Fulmer BR, Sumfest JM. Laparoscopic robot-assisted appendicovesicostomy: an initial experience. J Endourol. 2007;21:1015–7.

    Article  PubMed  Google Scholar 

  34. Nguyen HT, Passerotti CC, Penna FJ, et al. Robotic assisted laparoscopic Mitrofanoff appendicovesicostomy: preliminary experience in a pediatric population. J Urol. 2009;182:1528–34.

    Article  PubMed  Google Scholar 

  35. •• Wille MA, Zagaja GP, Shalhav AL, et al. Continence outcomes in patients undergoing robotic assisted laparoscopic Mitrofanoff appendicovesicostomy. J Urol. 2011;185:1438–43. Larger number of cases than previous reports with clinical outcome after robot-assisted laparoscopic appendicovesicostomy for children.

    Article  PubMed  Google Scholar 

  36. Gundeti MS, Wiltz AL, Zagaja GP, et al. Robot-assisted laparoscopic intracorporeal hand-sewn bowel anastomosis during pediatric bladder reconstructive surgery. J Endourol. 2010;24:1325–8.

    Article  PubMed  Google Scholar 

  37. Lendvay TS, Shnorhavorian M, Grady RW. Robotic-assisted laparoscopic mitrofanoff appendicovesicostomy and antegrade continent enema colon tube creation in a pediatric spina bifida patient. J Laparoendosc Adv Surg Tech A. 2008;18:310–2.

    Article  PubMed  Google Scholar 

  38. Thakre AA, Yeung CK, Peters C. Robot-assisted Mitrofanoff and Malone antegrade continence enema reconstruction using divided appendix. J Endourol. 2008;22:2393–6.

    Article  PubMed  Google Scholar 

  39. Storm DW, Fulmer BR, Sumfest JM. Robotic-assisted laparoscopic approach for posterior bladder neck dissection and placement of pediatric bladder neck sling: initial experience. Urology. 2008;72:1149–52.

    Article  PubMed  Google Scholar 

  40. • Bagrodia A, Gargollo P. Robot-assisted bladder neck reconstruction, bladder neck sling, and appendicovesicostomy in children: description of technique and initial results. J Endourol. 2011;25:1299–305. Excellent description of technique of robot-assisted bladder neck reconstruction, bladder neck sling, and appendicovesicostomy in children.

    Article  PubMed  Google Scholar 

  41. Leissner J, Allhoff EP, Wolff W, Feja C, Hockel M, Black P, et al. The pelvic plexus and antireflux surgery: topographical findings and clinical consequences. J Urol. 2001;165(5):1652e5.

    Article  Google Scholar 

  42. Orvieto MA, Large M, Gundeti MS. Robotic paediatric urology. BJU Int. 2011;110(1):2–13. doi:10.1111/j.1464-410X.2011.10877.

    Article  Google Scholar 

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Disclosure

Dr. Mohan S. Gundeti reported receiving honoraria from Intuitive Surgical, as proctor and royalties as editor of the Textbook of Pediatric Robotic Urology. Dr. Yoshiyuki Kojima reported no potential conflicts of interest relevant to this article. Dr. Nobuhiro Haga reported no potential conflicts of interest relevant to this article. Dr. Kyle Kiriluk reported no potential conflicts of interest relevant to this article.

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Authors and Affiliations

  1. The University of Chicago Medicine & Biological Sciences; Comer Children’s Hospital, 5841 S. Maryland Avenue , MC 7122, Chicago, IL, 60637, USA

    Mohan S. Gundeti & Kyle Kiriluk

  2. Department of Urology, Fukushima Medical University School of Medicine, 1, Hikarigaoka, Fukushima, 960-1295, Japan

    Yoshiyuki Kojima & Nobuhiro Haga

Authors
  1. Mohan S. Gundeti
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  2. Yoshiyuki Kojima
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  3. Nobuhiro Haga
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  4. Kyle Kiriluk
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Correspondence to Mohan S. Gundeti.

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Gundeti, M.S., Kojima, Y., Haga, N. et al. Robotic-Assisted Laparoscopic Reconstructive Surgery in the Lower Urinary Tract. Curr Urol Rep 14, 333–341 (2013). https://doi.org/10.1007/s11934-013-0328-7

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  • DOI: https://doi.org/10.1007/s11934-013-0328-7

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