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• W1977779084 abstract "No AccessJournal of UrologyPediatric Urology1 May 2008Nerve Sparing Robotic Extravesical Ureteral Reimplantation Pasquale Casale, Rakesh P. Patel, and Thomas F. Kolon Pasquale CasalePasquale Casale More articles by this author , Rakesh P. PatelRakesh P. Patel More articles by this author , and Thomas F. KolonThomas F. Kolon More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2008.01.062AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Laparoscopic transvesical ureteral reimplantation with or without robot assisted surgical devices is being developed as an alternative to open surgery. We sought to review our experience with an extravesical robotic technique, to determine whether postoperative voiding dysfunction might be avoided with pelvic plexus visualization and to evaluate the overall feasibility of this approach to ureteral surgery. Materials and Methods: A total of 41 patients underwent robotic extravesical reimplantation for bilateral vesicoureteral reflux. The patients were divided into groups based on bladder capacity as measured by voiding cystourethrogram. The operation was performed via a transperitoneal approach with robotic assistance using the da Vinci® Surgical System. Results: Operative success rates were 97.6%. There were no complications. There were no episodes of urinary retention documented by bladder scanning. Conclusions: Robotic extravesical reimplantation is in its infancy, and visualization of the pelvic plexus appears to be paramount in avoiding postoperative voiding complications. This approach appears to be a feasible and reasonable option for vesicoureteral reflux correction. References 1 : Epidemiology of symptomatic urinary tract infection in childhood. Acta Paediatr Scand, suppl.1974; 252: 1. Google Scholar 2 : Clinical observations relating to incidence and aetiology of urinary-tract infections in children. Br Med J1966; 1: 631. Google Scholar 3 : Renal pathology and the 99mTc-DMSA image during the evolution of the early pyelonephritic scar: an experimental study. J Urol1994; 151: 767. Link, Google Scholar 4 : Relationship of infantile vesicoureteric reflux to renal damage. Br Med J1970; 1: 460. Crossref, Medline, Google Scholar 5 : Guidelines for consideration for surgical repair of vesicoureteral reflux. Curr Opin Urol2000; 10: 579. Google Scholar 6 : Ureterovesical anastomosis: the description and evaluation of a technique. J Urol1959; 82: 573. Link, Google Scholar 7 : Treatment of vesicoureteral reflux by endoscopic injection of dextranomer/hyaluronic acid copolymer: preliminary results. J Urol2003; 170: 1541. Link, Google Scholar 8 : Laparoscopic extravesicular ureteral reimplantation for vesicoureteral reflux: recent technical advances. J Endourol2000; 14: 589. Google Scholar 9 : Endoscopic cross-trigonal ureteral reimplantation under carbon dioxide bladder insufflation: a novel technique. J Endourol2005; 19: 295. Google Scholar 10 : Intravesical robotically assisted bilateral ureteral reimplantation. J Endourol2005; 19: 618. Google Scholar 11 : Initial experience with laparoscopic transvesical ureteral reimplantation at the Children’s Hospital of Philadelphia. J Urol2006; 176: 2222. Link, Google Scholar 12 : The pelvic plexus and antireflux surgery: topographical findings and clinical consequences. J Urol2001; 165: 1652. Link, Google Scholar Children’s Hospital of Philadelphia and Department of Surgery, Division of Urology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania© 2008 by American Urological AssociationFiguresReferencesRelatedDetailsCited byGrimsby G, Dwyer M, Jacobs M, Ost M, Schneck F, Cannon G and Gargollo P (2014) Multi-Institutional Review of Outcomes of Robot-Assisted Laparoscopic Extravesical Ureteral ReimplantationJournal of Urology, VOL. 193, NO. 5S, (1791-1795), Online publication date: 1-May-2015.Kojima Y, Mizuno K, Umemoto Y, Yasui T, Hayashi Y and Kohri K (2012) Ureteral Advancement in Patients Undergoing Laparoscopic Extravesical Ureteral Reimplantation for Treatment of Vesicoureteral RefluxJournal of Urology, VOL. 188, NO. 2, (582-587), Online publication date: 1-Aug-2012.Sorensen M, Delostrinos C, Johnson M, Grady R and Lendvay T (2011) Comparison of the Learning Curve and Outcomes of Robotic Assisted Pediatric PyeloplastyJournal of Urology, VOL. 185, NO. 6S, (2517-2522), Online publication date: 1-Jun-2011.Smith R, Oliver J and Peters C (2011) Pediatric Robotic Extravesical Ureteral Reimplantation: Comparison With Open SurgeryJournal of Urology, VOL. 185, NO. 5, (1876-1881), Online publication date: 1-May-2011.Marchini G, Hong Y, Minnillo B, Diamond D, Houck C, Meier P, Passerotti C, Kaplan J, Retik A and Nguyen H (2011) Robotic Assisted Laparoscopic Ureteral Reimplantation in Children: Case Matched Comparative Study With Open Surgical ApproachJournal of Urology, VOL. 185, NO. 5, (1870-1875), Online publication date: 1-May-2011.Gargollo P (2011) Hidden Incision Endoscopic Surgery: Description of Technique, Parental Satisfaction and ApplicationsJournal of Urology, VOL. 185, NO. 4, (1425-1431), Online publication date: 1-Apr-2011. Volume 179Issue 5May 2008Page: 1987-1990 Advertisement Copyright & Permissions© 2008 by American Urological AssociationKeywordslaparoscopyvesico-ureteral refluxroboticsureterMetricsAuthor Information Pasquale Casale More articles by this author Rakesh P. Patel More articles by this author Thomas F. Kolon More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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