Case report: robotic-assisted laparoscopic ureterocalicostomy with long-term follow-up.
BACKGROUND
Robotic-assisted laparoscopic surgery is being applied to a growing number of procedures.


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.
Schimpf
Megan O
MO
Division of Urogynecology, Department of Obstetrics & Gynecology, Hartford Hospital, Hartford, Connecticut, USA. mschimp@harthosp.org
Wagner
Joseph R
JR
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000601:surgery; D007670:Kidney Calices / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D012371:Robotics / Q000379:methods*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014517:Ureteral Obstruction / Q000601:surgery*; D014519:Ureterostomy / Q000379:methods*