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Paediatric Robotic Transperitoneal Heminephroureterectomy in Complete Duplicated Systems: Early and Long-Term
Donatella Di Fabrizio1, Thomas P Cundy1, Azad S Najmaldin1
1Department of Paediatric Surgery, Leeds Teaching Hospitals, The General Infirmary, Leeds, UK.
Summary
Robotic heminephroureterectomy in children is a safe and effective procedure, demonstrating favorable outcomes with no intraoperative complications or loss of kidney function. This minimally invasive approach is well-suited for pediatric urological conditions.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Paediatric robotic heminephroureterectomy outcomes were evaluated.
- A prospective single-surgeon series was utilized.
Purpose of the Study:
- To assess the efficacy and safety of robotic-assisted heminephroureterectomy in children.
- To report outcomes including complications, operative time, and length of stay.
Main Methods:
- Prospective review of children undergoing robotic heminephroureterectomy between July 2007 and March 2017.
- Data collected from a prospective database including patient demographics, indications, operative details, and outcomes.
Main Results:
- 32 patients underwent robotic heminephroureterectomy for various conditions like ureterocele, reflux, ectopic ureter, and ureteric atresia.
- No conversions or intraoperative complications occurred; complete excision of the diseased moiety was achieved in 94%.
- Mean console time was 101 minutes, hospital stay averaged 29.5 hours, with 9% of females requiring further surgery for stump-related issues.
Conclusions:
- Robotic heminephroureterectomy is a suitable approach for pediatric patients.
- The procedure demonstrates favorable outcomes, including high success rates and minimal complications.
