Failed pyeloplasty in children: Is robot-assisted laparoscopic reoperative repair feasible?

Summary Objective In this study we aim to demonstrate that robot-assisted laparoscopic (RAL) reoperative repair is safe and effective and even less technically demanding than open repair for recurrent ureteropelvic-junction obstruction (UPJO). Study design A retrospective study was conducted of all...

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Veröffentlicht in:	Journal of pediatric urology 2015-04, Vol.11 (2), p.69.e1-69.e6
Hauptverfasser:	Asensio, Marino, Gander, Romy, Royo, Gloria F, Lloret, Josep
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Blood vessels Child Cohort Studies Constriction, Pathologic - surgery Feasibility Studies Female Follow-Up Studies Humans Kidney Pelvis - pathology Kidney Pelvis - surgery Male Minimally Invasive Surgical Procedures - methods Pediatrics Postoperative Complications - diagnosis Postoperative Complications - surgery Reoperation - methods Retrospective Studies Risk Assessment Robotic Robotic Surgical Procedures - adverse effects Robotic Surgical Procedures - methods Time Factors Treatment Outcome Ureteral obstruction Ureteral Obstruction - diagnosis Ureteral Obstruction - surgery Urologic Surgical Procedures - adverse effects Urologic Surgical Procedures - methods Urology
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Zusammenfassung:	Summary Objective In this study we aim to demonstrate that robot-assisted laparoscopic (RAL) reoperative repair is safe and effective and even less technically demanding than open repair for recurrent ureteropelvic-junction obstruction (UPJO). Study design A retrospective study was conducted of all cases of failed open pyeloplasties who underwent RAL reoperative repair at our institution between January 2010 and December 2013. The general surgical procedure was the same we previously described for robot-assisted laparoscopic pyeloplasty. Success was defined as: improvement in the degree of hydronephrosis at ultrasound, improvement of diuretic washout time at postoperative diuretic renogram (
ISSN:	1477-5131 1873-4898
DOI:	10.1016/j.jpurol.2014.10.009