title: Robotic nephropexy in case of symptomatic nephroptosis.
abstract: We found only a recent report of robotic-assisted nephropexy, in a young female with associated dismembered pyeloplasty. Herein we present the first case of isolated robotic nephropexy. A 34-year old female was referred to our Urological Division history of right flank pain and evidence at intravenous urography of a 5-6 cm descent of right kidney moving from supine to erect position. The robotic nephropexy was performed with a transperitoneal approach and 4 trocars. The kidney was wrapped up with a Parietex Composite (PCO) mesh (Tyco Healthcare), previously precut in an hockey stick shape to obtain a "spoon effect" to push up the lower pole of kidney. Despite the laparoscopic or retroperitoneoscopic procedures, the robotic-assisted nephropexy appears easier, with the particular advantages of the intracorporeal suturing and a better intraoperative view. The use of mesh, in our opinion, is preferable respect the decapsulation of the kidney, to avoid unnecessary blood loss and possible scarring.
authors.affiliation: Division of Urology, Umberto Parini Hospital, Aosta, Italy. emanuele.baldassarre@alice.it
authors.forename: Emanuele
authors.initials: E
authors.lastname: Baldassarre
authors.forename: Paolo
authors.initials: P
authors.lastname: Marcangeli
authors.forename: Massimo
authors.initials: M
authors.lastname: Vigano
authors.forename: Ivano
authors.initials: I
authors.lastname: Vittoria
authors.forename: Domenico
authors.initials: D
authors.lastname: Pone
authors.forename: Arianna
authors.initials: A
authors.lastname: Gillo
authors.forename: Paolo
authors.initials: P
authors.lastname: Pierini
mesh_terms: D000328:Adult; D005260:Female; D021501:Flank Pain / Q000209:etiology; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D012371:Robotics / Q000295:instrumentation; D016896:Treatment Outcome; D014567:Urography; D013520:Urologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*