title: [Laparoscopic robot-assisted partial nephrectomy with total ureterectomy in a symptomatic complete duplicated system: advantages of transperitoneal approach].
abstract: We report the case of a laparoscopic robot assisted left upper polar partial nephrectomy with total ureterectomy performed in a teenager. A 14 year-old girl was referred to our institution for stress urinary incontinence. The morphological assessment (ultrasound scan and uro-MRI) showed a double collecting system with a complete ureteral duplication complicated by a dysplasia of the upper moiety of the duplex left kidney and a mega ureter. The surgery started on a lateral decubitus position by the upper polar partial nephrectomy and the ureter section behind superior polar renal vessels. The patient was placed in a supine position and the mega ureter was released and sectioned at the level of the distal adynamic segment in the left uterine parameter. The transperitoneal route was chosen as it provides a large workspace and allows the dissection of the ureters into their pelvic portion by a simple repositioning of the robot ports without additional incision and without any modification of the operative field. No intraoperative and postoperative complication was noticed. Laparoscopic robotic assisted surgery in pediatric urology is increasing, and to our knowledge, we reported this technique and surgery for the first time in France and in children. In the reported case, we showed that the robotic minimally invasive surgery in children is an innovative and safe technique for the treatment of symptomatic upper urinary tract malformations.
authors.affiliation: Département d'urologie, transplantation rénale et andrologie, CHU Rangueil, 1, avenue du Professeur-Jean-Poulhes, 31059 Toulouse cedex 9, France.
authors.forename: V
authors.initials: V
authors.lastname: Tostivint
authors.affiliation: Département d'urologie, transplantation rénale et andrologie, CHU Rangueil, 1, avenue du Professeur-Jean-Poulhes, 31059 Toulouse cedex 9, France.
authors.forename: N
authors.initials: N
authors.lastname: Doumerc
authors.affiliation: Département d'urologie, transplantation rénale et andrologie, CHU Rangueil, 1, avenue du Professeur-Jean-Poulhes, 31059 Toulouse cedex 9, France.
authors.forename: M
authors.initials: M
authors.lastname: Roumiguie
authors.affiliation: Département d'urologie, transplantation rénale et andrologie, CHU Rangueil, 1, avenue du Professeur-Jean-Poulhes, 31059 Toulouse cedex 9, France.
authors.forename: J-B
authors.initials: JB
authors.lastname: Beauval
authors.affiliation: Département d'urologie, transplantation rénale et andrologie, CHU Rangueil, 1, avenue du Professeur-Jean-Poulhes, 31059 Toulouse cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Rischmann
authors.affiliation: Département d'urologie, transplantation rénale et andrologie, CHU Rangueil, 1, avenue du Professeur-Jean-Poulhes, 31059 Toulouse cedex 9, France.
authors.forename: M
authors.initials: M
authors.lastname: Soulie
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Galinier
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France. Electronic address: bouali.o@chu-toulouse.fr.
authors.forename: O
authors.initials: O
authors.lastname: Bouali
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery*; D010535:Laparoscopy; D009392:Nephrectomy / Q000379:methods*; D010537:Peritoneum; D065287:Robotic Surgical Procedures; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery*
keywords: Chirurgie laparoscopique robot assistée; Chirurgie mini-invasive; Incontinence urinaire; Laparoscopic surgery; Minimally invasive; Néphro-urétérectomie polaire; Paediatric; Partial nephrectomy; Pédiatrie; Robotic; Système double urinaire; Urology