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Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
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Open vs robotic infant ureteroureterostomy.

C A Villanueva1

  • 1University of Nebraska Medical Center, Children's Hospital and Medical Center, 8200 Dodge Street, Omaha, NE 68114, United States.

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|June 2, 2019
PubMed
Summary

Robotic-assisted ureteroureterostomy (UU) in infants is as safe and effective as the traditional open approach. Operative times are comparable, with similar complication rates unrelated to the surgical method itself.

Keywords:
Ectopic ureterRobotic surgeryUreteroureterostomy

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Area of Science:

  • Pediatric Surgery
  • Urology
  • Minimally Invasive Surgery

Background:

  • Ureteroureterostomy (UU) is a common procedure for managing ureteral duplication anomalies.
  • The traditional open approach uses a Pfannenstiel incision, but minimally invasive techniques are emerging.
  • Robotic-assisted surgery offers potential advantages in pediatric urological procedures.

Purpose of the Study:

  • To compare open versus robotic-assisted ureteroureterostomy (UU) in infants.
  • To evaluate operative time, complication rates, and success rates between the two surgical approaches.
  • To assess the safety and efficacy of robotic-assisted UU in pediatric patients.

Main Methods:

  • Retrospective study of infant UUs performed between July 2013 and January 2019.
  • Comparison of open procedures (pre-November 2017) with robotic-assisted procedures (post-November 2017).
  • Standardized pre-operative and post-operative care including cystoscopy, ureteral stent placement, and Foley catheter management.

Main Results:

  • 12 open and 8 robotic infant UUs were performed; median age was 7 months.
  • Median operative time was 133 minutes for open and 137 minutes for robotic (P=0.8).
  • Complications in the robotic group were related to stent issues, not the robotic approach itself; no reoperations were required.

Conclusions:

  • Robotic-assisted ureteroureterostomy (UU) is a safe and effective option for infants.
  • The operative time for robotic UU is comparable to the traditional open Pfannenstiel approach.
  • Complications observed in the robotic group were manageable and not inherent to the robotic technique.