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Robotic Pediatric Renal Surgery

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Robotic Urologic Surgery

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Abstract

The robotic surgery platform offers many distinct advantages in pediatric patients over traditional open or laparoscopic surgery given the robotic instruments endo-wrist abilities. The addition of fine-wrist movements provides surgeons the opportunity to dissect and suture within smaller working spaces, flattening the learning curve for urologic reconstructive procedures. Upper urinary tract robotic procedures are one of the most common applications of pediatric robotic surgery in urology, notably robotic pyeloplasty, ureterocalicostomy, heminephrectomy, and nephrolithotomy. These procedures require delicate dissection and reconstruction that the robotic platform makes possible within a laparoscopic approach. The robotic platform has been reported in patients as young as 6 months with success and typically only require 3–4 robotic ports. Herein this chapter, the general approach to upper urinary tract robotic procedures will be discussed as well as specific considerations on how to perform a robotic pyeloplasty, ureterocalicostomy, heminephrectomy, and nephrolithotomy in pediatric patients.

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Author information

Authors and Affiliations

  1. Nicklaus Children’s Hospital, University of Miami, Miami, FL, USA

    Daniel E. Nassau & Miguel Castellan

  2. AdventHealth for Children, Walt Disney Pavilion, Orlando, FL, USA

    Pasquale Casale & Pablo Gomez III

Authors
  1. Daniel E. Nassau
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  2. Miguel Castellan
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  3. Pasquale Casale
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  4. Pablo Gomez III
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Editor information

Editors and Affiliations

  1. Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA

    Peter Wiklund

  2. Department of Urology, ORSI Academy, Aalst, Belgium

    Alexandre Mottrie

  3. Pediatric Urology, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA

    Mohan S Gundeti

  4. Urology, Global Robotics Institute, Celebration, FL, USA

    Vipul Patel

1 Electronic Supplementary Material

Left upper pole heminephrectomy (MP4 158138 kb)

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Nassau, D.E., Castellan, M., Casale, P., Gomez, P. (2022). Robotic Pediatric Renal Surgery. In: Wiklund, P., Mottrie, A., Gundeti, M.S., Patel, V. (eds) Robotic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-00363-9_69

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  • DOI: https://doi.org/10.1007/978-3-031-00363-9_69

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-031-00363-9

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