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. 2023 Oct;19(5):e2539.
doi: 10.1002/rcs.2539. Epub 2023 Jun 1.

Robotic approach to the uretero-vesical junction in children: An international multicentric retrospective study

Francesco Molinaro  1 , Francesca Nascimben  1 , Camilla Todesco  1   2 , Giulia Fusi  1   3 , Elisa Chiarella  1 , Thibault Planchamp  3 , Giovanni Cobellis  2 , Olivier Abbo  3 , Mario Messina  1 , Rossella Angotti  1
Affiliations

Robotic approach to the uretero-vesical junction in children: An international multicentric retrospective study

Francesco Molinaro et al. Int J Med Robot. 2023 Oct.

Abstract

Background: Robot-assisted approach to UVJ is getting more and more used in pediatric patients.

Methods: In this retrospective study 26 patients affected by nephro-urological malformations, robotic-surgically treated from 2016 and 2021 at 3 Pediatric Surgery Department were included: 3 (11.5%) primary obstructive megaureter, 2 (7.7%) dysplastic kidneys, 3 (11.5%) duplex collecting system, 18 (69.2%) primary vescico-ureteral reflux (VUR).

Results: Mean age at surgery was 6 years old. 22 (84.6%) underwent Lich Gregoire extravesical ureteral reimplantation, 4 (15.4%) total nephroureterectomy. Mean operative time was 230 min. No conversions or intraoperative complications. Median hospital stay was 4 days. There were 4 (15.38%) postoperative complications: 3 (11.54%) persistent VUR and 1 (3.84%) refluxing megaureter. 2 (7.7%) redo-surgery.

Conclusions: Robotic Surgery should be considered a safe and effective technique for treatment of UVJ anomalies in children, because it firstly allows surgeons to approach both upper and lower ureteral ends without modifying trocars' placement.

Keywords: anti-reflux surgery; children; minimal invasive surgery; nephrectomy; robotic surgery; ureteral-vesical junction.

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