title: Pediatric robotic-assisted laparoscopic ipsilateral ureteroureterostomy in a duplicated collecting system.
abstract: OBJECTIVE
  Duplex renal collecting system is a common congenital anomaly in the pediatric population. The superior moiety ureter is often associated with an ectopic insertion. A common site of insertion is the urethra, which results in continuous incontinence. A novel repair for this abnormality is a robotic assisted laparoscopic ipsilateral ureteroureterostomy with end to side anastomosis. This teaching video will demonstrate positioning and operative technique for this procedure.
  
  
  METHODS
  This is the case of a 5-year-old girl who presented with lifelong continuous urinary incontinence. Workup revealed a duplicated collecting system with a functional superior moiety and ectopic ureter inserting into the urethra. A laparoscopic ipsilateral ureteroureterostomy was performed using a robotic surgical system.
  
  
  RESULTS
  After docking the robotic surgical system, the duplicated collecting system was identified and an ipsilateral ureteroureterostomy was performed. The patient tolerated the procedure well and the ultrasound on follow up revealed no residual hydronephrosis.
  
  
  CONCLUSIONS
  The accompanying teaching video shows appropriate positioning and operative technique for a robotic-assisted laparoscopic ureteroureterostomy. This innovative and minimally invasive technique is a safe and feasible approach to repair a duplex collecting system with an ectopic ureter in the pediatric population.
authors.affiliation: University of Virginia, PO Box 800422, Charlottesville, VA 22908-0422, USA. Electronic address: stc2u@virginia.edu.
authors.forename: S T
authors.initials: ST
authors.lastname: Corbett
authors.forename: M B
authors.initials: MB
authors.lastname: Burris
authors.forename: C D A
authors.initials: CD
authors.lastname: Herndon
mesh_terms: D002675:Child, Preschool; D005260:Female; D006801:Humans; D007685:Kidney Tubules, Collecting / Q000002:abnormalities* / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012371:Robotics; D014519:Ureterostomy / Q000379:methods*; D014549:Urinary Incontinence / Q000473:pathology / Q000601:surgery*