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Pediatric Robotic Surgery pp 55–64Cite as

Pediatric Robotic Pyeloplasty

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Abstract

Ongoing efforts to reduce the morbidity of surgical interventions and improve clinical outcomes have resulted in a dynamic evolution of all aspects of surgery. Repair of renal obstruction in children by way of pyeloplasty is an example of this evolution that is well suited to the application of robotic technology. While reducing apparent surgical morbidity it has maintained the expectation of very high success, and may even offer enhanced outcomes due to excellent visualization, magnification, and surgical control. This chapter describes the basic application of robotic technology to the repair of ureteropelvic junction obstruction in children and provides guidance on the successful performance of this procedure in children of all ages.

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  • DOI: 10.1007/978-3-319-41863-6_7
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References

  1. Kavoussi LR, Peters CA. Laparoscopic pyeloplasty. J Urol. 1993;150(6):1891–4.

    CAS  CrossRef  PubMed  Google Scholar 

  2. Schuessler WW, Grune MT, Tecuanhuey LV, Preminger GM. Laparoscopic dismembered pyeloplasty. J Urol. 1993;150(6):1795–9.

    CAS  CrossRef  PubMed  Google Scholar 

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

    CAS  CrossRef  PubMed  Google Scholar 

  4. Tan HL. Laparoscopic Anderson-Hynes dismembered pyeloplasty in children. J Urol. 1999;162(3 Pt 2):1045–7. discussion 1048

    CAS  CrossRef  PubMed  Google Scholar 

  5. Klingler HC, Remzi M, Janetschek G, Kratzik C, Marberger MJ. Comparison of open versus laparoscopic pyeloplasty techniques in treatment of uretero-pelvic junction obstruction. Eur Urol. 2003;44(3):340–5.

    CrossRef  PubMed  Google Scholar 

  6. El-Ghoneimi A, Farhat W, Bolduc S, Bagli D, McLorie G, Aigrain Y, Khoury A. Laparoscopic dismembered pyeloplasty by a retroperitoneal approach in children. BJU Int. 2003;92(1):104–8.

    CAS  CrossRef  PubMed  Google Scholar 

  7. Reddy M, Nerli RB, Bashetty R, Ravish IR. Laparoscopic dismembered pyeloplasty in children. J Urol. 2005;174(2):700–2.

    CrossRef  PubMed  Google Scholar 

  8. Braga LH, Pippi-Salle J, Lorenzo AJ, Bagli D, Khoury AE, Farhat WA. Pediatric laparoscopic pyeloplasty in a referral center: lessons learned. J Endourol. 2007;21(7):738–42.

    CrossRef  PubMed  Google Scholar 

  9. Ravish IR, Nerli RB, Reddy MN, Amarkhed SS. Laparoscopic pyeloplasty compared with open pyeloplasty in children. Journal of endourology/Endourological Society. 2007;21(8):897–902.

    CAS  CrossRef  Google Scholar 

  10. Piaggio LA, Franc-Guimond J, Noh PH, Wehry M, Figueroa TE, Barthold J, Gonzalez R. Transperitoneal laparoscopic pyeloplasty for primary repair of ureteropelvic junction obstruction in infants and children: comparison with open surgery. J Urol. 2007;178(4 Pt 2):1579–83.

    CrossRef  PubMed  Google Scholar 

  11. Atug F, Woods M, Burgess SV, Castle EP, Thomas R. Robotic assisted laparoscopic pyeloplasty in children. J Urol. 2005;174(4 Pt 1):1440–2.

    CrossRef  PubMed  Google Scholar 

  12. Monn MF, Bahler CD, Schneider EB, Sundaram CP. Emerging trends in robotic pyeloplasty for the management of ureteropelvic junction obstruction in adults. J Urol. 2013;189(4):1352–7.

    CrossRef  PubMed  Google Scholar 

  13. Chandrasoma S, Kokorowski P, Peters C, Koh C. Straight-arm positioning and port placement for pediatric robotic-assisted laparoscopic renal surgery. J Robotic Surg. 2010;4(1):29–32.

    CrossRef  Google Scholar 

  14. Poppas DP, Bleustein CB, Peters CA. Box stitch modification of Hasson technique for pediatric laparoscopy. J Endourol. 1999;13(6):447–50.

    CAS  CrossRef  PubMed  Google Scholar 

  15. Gargollo PC. Hidden incision endoscopic surgery: description of technique, parental satisfaction and applications. J Urol. 2011;185(4):1425–31.

    CrossRef  PubMed  Google Scholar 

  16. Yeung CK, Tam YH, Sihoe JD, Lee KH, Liu KW. Retroperitoneoscopic dismembered pyeloplasty for pelvi-ureteric junction obstruction in infants and children. BJU Int. 2001;87(6):509–13.

    CAS  CrossRef  PubMed  Google Scholar 

  17. Olsen LH, Jorgensen TM. Computer assisted pyeloplasty in children: the retroperitoneal approach. J Urol. 2004;171(6 Pt 2):2629–31.

    CAS  CrossRef  PubMed  Google Scholar 

  18. Olsen LH, Rawashdeh YF, Jorgensen TM. Pediatric robot assisted retroperitoneoscopic pyeloplasty: a 5-year experience. J Urol. 2007;178(5):2137–41. discussion 2141

    CrossRef  PubMed  Google Scholar 

  19. Mesrobian HG. Bypass pyeloplasty: description of a procedure and initial results. J Pediatr Urol. 2009;5(1):34–6.

    CrossRef  PubMed  Google Scholar 

  20. Hellstrom J, Giertz G, Lindblom K. Pathogenesis and treatment of hydronephrosis. J Belge Urol. 1951;20(1):1–6.

    CAS  PubMed  Google Scholar 

  21. Gundeti MS, Reynolds WS, Duffy PG, Mushtaq I. Further experience with the vascular hitch (laparoscopic transposition of lower pole crossing vessels): an alternate treatment for pediatric ureterovascular ureteropelvic junction obstruction. J Urol. 2008;180(4 Suppl):1832–1836; discussion 1836.

    CrossRef  PubMed  Google Scholar 

  22. Sakoda A, Cherian A, Mushtaq I. Laparoscopic transposition of lower pole crossing vessels (‘vascular hitch’) in pure extrinsic pelvi-ureteric junction (PUJ) obstruction in children. BJU Int. 2011;108(8):1364–8.

    CrossRef  PubMed  Google Scholar 

  23. Miranda ML, Pereira LH, Cavalaro MA, Pegolo PC, de Oliveira-Filho AG, Bustorff-Silva JM. Laparoscopic transposition of lower pole crossing vessels (vascular hitch) in children with Pelviureteric junction obstruction: how to be sure of the success of the procedure? J Laparoendosc Adv Surg Tech A. 2015;25(10):847–51.

    CrossRef  PubMed  Google Scholar 

  24. Chiarenza SF, Bleve C, Fasoli L, Battaglino F, Bucci V, Novek S, Zolpi E. Ureteropelvic junction obstruction in children by polar vessels. Is laparoscopic vascular hitching procedure a good solution? Single center experience on 35 consecutive patients. J Pediatr Surg. 2015;

    Google Scholar 

  25. Autorino R, Eden C, El-Ghoneimi A, Guazzoni G, Buffi N, Peters CA, Stein RJ, Gettman M. Robot-assisted and laparoscopic repair of ureteropelvic junction obstruction: a systematic review and meta-analysis. Eur Urol. 2014;65(2):430–52.

    CrossRef  PubMed  Google Scholar 

  26. Franco I, Dyer LL, Zelkovic P. Laparoscopic pyeloplasty in the pediatric patient: hand sewn anastomosis versus robotic assisted anastomosis--is there a difference? J Urol. 2007;178(4 Pt 1):1483–6.

    CrossRef  PubMed  Google Scholar 

  27. Minnillo BJ, Cruz JA, Sayao RH, Passerotti CC, Houck CS, Meier PM, Borer JG, Diamond DA, Retik AB, Nguyen HT. Long-term experience and outcomes of robotic assisted laparoscopic pyeloplasty in children and young adults. J Urol. 2011;185(4):1455–60.

    CrossRef  PubMed  Google Scholar 

  28. Silva MV, Levy AC, Finkelstein JB, Van Batavia JP, Casale P. Is peri-operative urethral catheter drainage enough? The case for stentless pediatric robotic pyeloplasty. J Pediatr Urol. 2015;11(4):175.e1–5.

    CrossRef  Google Scholar 

  29. Davis TD, Burns AS, Corbett ST, Peters CA. Reoperative robotic pyeloplasty in children. J Pediatr Urol. 2016; 12(6):394.e1–394.

    Google Scholar 

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Authors and Affiliations

  1. Department of Urology, University of Texas Southwestern, Dallas, TX, USA

    Kunj Sheth M.D.

  2. Pediatric Urology, Children’s Medical Center Dallas, University of Texas Southwestern, Dallas, TX, USA

    Craig A. Peters M.D.

Authors
  1. Kunj Sheth M.D.
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  2. Craig A. Peters M.D.
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Corresponding author

Correspondence to Craig A. Peters M.D. .

Editor information

Editors and Affiliations

  1. School of Pediatric Surgery, DINOGMI, Istituto Giannina Gaslini, Genova, Italy

    Prof. Girolamo Mattioli

  2. Istituto Giannina Gaslini, Genova, Italy

    Paolo Petralia

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Sheth, K., Peters, C.A. (2017). Pediatric Robotic Pyeloplasty. In: Mattioli, G., Petralia, P. (eds) Pediatric Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-41863-6_7

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  • DOI: https://doi.org/10.1007/978-3-319-41863-6_7

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-41863-6

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