title: Robot-assisted laparoscopic intracorporeal hand-sewn bowel anastomosis during pediatric bladder reconstructive surgery.
abstract: Bowel anastomosis performed during robot-assisted laparoscopic surgery in both adult and pediatric populations has typically been performed using endoscopic staplers or with exteriorization of the bowel. In the pediatric population, no articles have been published that explore the possibility of a completely intracorporeal hand-sewn anastomosis during robot-assisted laparoscopic surgery. We report our series of six children who were undergoing robot-assisted laparoscopic intracorporeal hand-sewn bowel anastomosis during bladder reconstructive surgery for neurogenic bladder. The postoperative course was uncomplicated with regard to the bowel anastomosis, demonstrating the feasibility of the technique in experienced hands.
authors.affiliation: Section of Urology, Department of Surgery, Comer Children's Hospital, University of Chicago Medical Center and Pritzker School of Medicine, Chicago, Illinois 60637, USA. mgundeti@surgery.bsd
authors.forename: Mohan S
authors.initials: MS
authors.lastname: Gundeti
authors.forename: Aimee L
authors.initials: AL
authors.lastname: Wiltz
authors.forename: Gregory P
authors.initials: GP
authors.lastname: Zagaja
authors.forename: Arieh L
authors.initials: AL
authors.lastname: Shalhav
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007422:Intestines / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012371:Robotics / Q000379:methods*; D013536:Suture Techniques; D001743:Urinary Bladder / Q000601:surgery*