Abstract
Introduction
Robotic techniques are being increasingly used in minimally invasive pediatric urology. Pediatric surgeons have gained experience with robotic procedures in children, and are beginning to perform these techniques in more complex cases, such as robotic-assisted laparoscopic appendicovesicostomy (RALA). Robotic surgery allows the surgeon to perform fine suturing and precise dissection under magnified vision, making it ideal for complex reconstructive urinary tract surgery. It was aimed to share the technical details of robotic-assisted laparoscopic right Lich–Gregoir and RALA.
Report
A 9-year-old boy presented with a neurogenic bladder. On the evaluation of the patient, right vesicoureteral reflux, double ureter, and neurogenic bladder were detected. Appendicovesicostomy and anti-reflux surgery were performed in the patient.
Conclusion
RALA can be performed safely in childhood.
This is a preview of subscription content, log in via an institution to check access.
Data availability
The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.
References
Pedraza R, Weiser A, Franco I (2004) Laparoscopic appendicovesicostomy (Mitrofanoff procedure) in a child using the da Vinci robotic system. J Urol 171:1652–1653. https://doi.org/10.1097/01.ju.0000116066.72132.9a
Gundeti MS, Eng MK, Reynolds WS, Zagaja GP (2008) Pediatric Robotic-assisted laparoscopic augmentation ileocystoplasty and Mitrofanoff appendicovesicostomy: complete intracorporeal-initial case report. Urology 72:1144–1147. https://doi.org/10.1016/j.urology.2008.06.070
Famakinwa O, Gundeti MS (2013) Robotic assisted laparoscopic Mitrofanoff appendicovesicostomy (RALMA). Curr Urol Rep 14:41–45. https://doi.org/10.1007/s11934-012-0294-5
Wu CQ, Franco I (2017) Management of vesicoureteral reflux in neurogenic bladder. Investig Clin Urol 58:S54–S58. https://doi.org/10.4111/icu.2017.58.S1.S54
Wille MA, Zagaja GP, Shalhav AL, Gundeti MS (2011) Continence outcomes in patients undergoing robotic assisted laparoscopic Mitrofanoff appendicovesicostomy. J Urol 185:1438–1443. https://doi.org/10.1016/j.juro.2010.11.050
Weiss DA, Shukla AR (2015) The robotic-assisted ureteral reimplantation: the evolution to a new standard. Urol Clin N Am 42:99–109. https://doi.org/10.1016/j.ucl.2014.09.010
Gundeti MS, Acharya SS, Zagaja GP, Shalhav AL (2011) Paediatric robotic-assisted laparoscopic augmentation ileocystoplasty and Mitrofanoff appendicovesicostomy (RALIMA): feasibility of and initial experience with the University of Chicago technique. BJU Int 107:962–969. https://doi.org/10.1111/j.1464-410X.2010.09706.x
Nguyen HT, Passerotti CC, Penna FJ, Retik AB, Peters CA (2009) Robotic assisted laparoscopic Mitrofanoff appendicovesicostomy: preliminary experience in a pediatric population. J Urol 182:1528–1534. https://doi.org/10.1016/j.juro.2009.06.055
Bustangi N, Chemaly AK, Scalabre A, Khelif K, Luyckx S, Steyaert H et al (2018) Extravesical ureteral reimplantation following Lich-Gregoir technique for the correction of vesico-ureteral reflux retrospective comparative study open vs. laparoscopy. Front Pediatr. https://doi.org/10.3389/fped.2018.00388
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflict of interest.
Consent for publication
This work has not been previously submitted or published in any national or international journal.
Financial declarations
None.
Rights and permissions
About this article
Cite this article
Bahadır, G.B., Ünlü Ballı, S.E., Korkmaz, G. et al. Robotic-assisted laparoscopic appendicovesicostomy. J Ped Endosc Surg 5, 87–90 (2023). https://doi.org/10.1007/s42804-023-00172-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s42804-023-00172-1