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Kidney Transplant II: Surgical Procedure

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...

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Updated: May 3, 2026

A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

Published on: December 20, 2014

Robot-assisted uretero-ureterostomy.

M Monti¹, G Rotondi¹, M Carlucci²

¹IRCCS Istituto Giannina Gaslini, Pediatric Surgery, Genoa, Italy; University of Genoa, DINOGMI, Genoa, Italy.

Journal of Pediatric Urology

|February 27, 2025

Summary

This summary is machine-generated.

Robotic uretero-ureterostomy (RUU) is a safe and effective minimally invasive surgery for pediatric duplex systems. This technique offers acceptable operative times, short hospital stays, and excellent success rates without intraoperative complications.

Keywords:

Duplex systems Robotic surgery Uretero-ureterostomy

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Area of Science:

Urology
Pediatric Surgery
Minimally Invasive Surgery

Background:

Robotic uretero-ureterostomy (RUU) is an increasingly popular minimally invasive surgical technique.
It serves as an alternative to ureteral reimplantation for treating pediatric duplex systems.

Purpose of the Study:

To describe the technical considerations and outcomes of RUU in pediatric patients.
To support the use of RUU as a viable surgical option.

Main Methods:

Data collected from November 2018 to December 2023 for pediatric RUU using the Da Vinci Surgical Robot Xi®.
Preoperative imaging and functional studies were performed; surgery indicated for duplex systems with ectopic upper ureter.
Standardized surgical technique involving trocar placement, ureteral isolation, transection, and end-to-side anastomosis to a stented orthotopic ureter.

Main Results:

Eight pediatric RUU procedures were performed, with no intraoperative complications or conversions.
Median operative time was 129.5 minutes, console time 66 minutes, and hospital stay 3 days.
Successful outcomes were observed, with resolution of urinary incontinence and improvement in urinary dilatation.

Conclusions:

Robotic uretero-ureterostomy is a safe and feasible procedure in pediatric patients, including those with low weight.
The technique demonstrates acceptable operative times, short hospital stays, and high success rates.
RUU effectively resolves symptoms and obstruction in duplex systems, avoiding more extensive bladder surgery.