21. Robotic-Assisted Intravesical Ureteral Reimplantation

  1. Mohan S. Gundeti MB, MS, MCh, FEBU, FRCS (Urol), FEAPU
  1. Brian J. Minnillo MD1,
  2. Giovanni S. Marchini MD2 and
  3. Hiep T. Nguyen MD, FAAP1

Published Online: 3 FEB 2012

DOI: 10.1002/9781444345292.ch21

Pediatric Robotic and Reconstructive Urology: A Comprehensive Guide

Pediatric Robotic and Reconstructive Urology: A Comprehensive Guide

How to Cite

Minnillo, B. J., Marchini, G. S. and Nguyen, H. T. (2011) Robotic-Assisted Intravesical Ureteral Reimplantation, in Pediatric Robotic and Reconstructive Urology: A Comprehensive Guide (ed M. S. Gundeti), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444345292.ch21

Editor Information

  1. The Center for Pediatric Robotic and Minimal Invasive Surgery, The University of Chicago and Comer Children's Hospital Chicago, IL, USA

Author Information

  1. 1

    Department of Urology, Children's Hospital, Harvard Medical School, Boston, MA, USA

  2. 2

    Department of Urology, University of São Paulo Medical School, São Paulo, Brazil

Publication History

  1. Published Online: 3 FEB 2012
  2. Published Print: 22 MAR 2011

ISBN Information

Print ISBN: 9781444335538

Online ISBN: 9781444345292

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Keywords:

  • robotic;
  • laparoscopic;
  • vesicoureteral reflux;
  • ureteral reimplantation;
  • intravesical;
  • pneumovesicum;
  • cross-trigonal

Summary

Vesicoureteral reflux (VUR) is commonly found in children with urinary tract infection (UTI). In the presence of UTI, VUR can result in renal scarring. Mild cases of VUR are likely to resolve spontaneously, whereas high-grade VUR may require surgical intervention. Laparoscopic antireflux surgery was first described in 1994 but widespread acceptance never occurred, mostly likely because of the difficulties with suturing and fine dissection. Within the last 6°years, minimally invasive techniques to reduce morbidity have gained popularity, yet open ureteral reimplantation remains the gold-standard surgical approach for VUR. Robotic-assisted laparoscopic intravesical ureteral reimplantation is one of the newest techniques adopted, which adds surgical precision and improved dexterity to the pure laparoscopic approach. This chapter discusses the preoperative workup, detailed procedure, postoperative care, potential complications, and outcomes of the robotic-assisted laparoscopic intravesical ureteral reimplantation procedure.