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Case report: robotic-assisted laparoscopic ureterocalicostomy with long-term follow-up
Megan O Schimpf1, Joseph R Wagner
1Division of Urogynecology, Department of Obstetrics & Gynecology, Hartford Hospital, Hartford, Connecticut, USA. mschimp@harthosp.org
Background:
Robotic-assisted laparoscopic surgery is being applied to a growing number of procedures.
Patient And Methods:
A 32-year-old woman with ureteropelvic obstruction underwent a robotic-assisted laparoscopic ureterocalicostomy in 2005. She had an uncomplicated surgery with minimal blood loss and post-operative course.
Results:
Imaging done serially after surgery remained stable. She became pregnant about 2 years later and ultimately required percutaneous nephrostomy for flank pain and worsening hydronephrosis in the third trimester. Nephrostogram after delivery showed a patent anastomosis, and the nephrostomy tube was removed.
Conclusions:
Robotic-assisted laparoscopy is an option for patients who require ureterocalicostomy. Long-term outcome at 3 years is favorable.