Robotic Ureteral Reconstruction in the Pediatric Population

Frontiers in Pediatrics

article

Aylin N. Bilgutay¹  Andrew J. Kirsch² 

[1] Department of Pediatric Urology, Children's Healthcare of Atlanta, United States;Department of Urology, Emory University School of Medicine, United States

关键词: robotic surgery;    pediatric urology;    pyeloplasty;    ureteroureterostomy;    vesicoureteral reflux;    ureteropelvic junction obstruction;    ureterovesical junction obstruction;    megaureter;   

DOI  :  10.3389/fped.2019.00085

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Robot-assisted laparoscopic (RAL) surgery is a safe, minimally invasive technique that has become more widely used in pediatric urology over recent decades. With several advantages over standard laparoscopy, robotic surgery is particularly well-suited to reconstructive surgery involving delicate structures like the ureter. A robotic approach provides excellent access to and visualization of the ureter at all levels. Common applications include upper ureteral reconstruction (e.g., pyeloplasty, ureteropelvic junction polypectomy, ureterocalicostomy, and high uretero-ureterostomy in duplex systems), mid-ureteral reconstruction (e.g., mid uretero-ureterostomy for stricture or polyp), and lower ureteral reconstruction (e.g., ureteral reimplantation and lower ureter-ureterostomy in duplex systems). Herein, we describe each of these robotic procedures in detail.

【 授权许可】

CC BY