Robot-assisted laparoscopic ureteric reimplantation: extravesical technique.
OBJECTIVE
To describe our standardised approach to performing robot-assisted extravesical ureteric reimplantation.


METHODS
A total of 29 children, with high grade (III-V) vesico-ureteric reflux (VUR) underwent robot-assisted extravesical ureteric reimplantation between September 2010 and September 2013. Follow-up renal ultrasonography was performed at 1 month and 3 months and a voiding cysto-urethrogram (VCUG) was obtained at 4 months to assess VUR resolution.


RESULTS
The mean (range) patient age at the time of surgery was 5.38 (3.0-10.0) years. Postoperative VCUG showed complete resolution of VUR in 32/40 ureters (80%). Of the remaining refluxing ureters, downgrading of VUR on VCUG was shown in 7/8 ureters (87.5%). The mean (range) length of hospital stay was 1.8 (1-3) days.


CONCLUSIONS
In conclusion, robot-assisted extravesical ureteric reimplantation is technically feasible with acceptable resolution of VUR.
Department of Surgery, Division of Urology, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA.
Pankaj P
PP
Dangle
Anup
A
Shah
Mohan S
MS
Gundeti
D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D056888:Patient Positioning; D012092:Replantation / Q000379:methods*; D012371:Robotics / Q000379:methods*; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000601:surgery*
extravesical; reimplantation; robotic; ureter