Use of robotic-assisted laparoscopic Mitrofanoff appendicovesicostomy in a paediatric patient: problem encountered.
This report is of robotic-assisted laparoscopic Mitrofanoff appendicovesicostomy in a 12-year-old patient with detrusor underactivity and hereditary sensory neuropathy. The whole operation was performed in 555 minutes with no open conversion. The patient experienced one episode of stomal stenosis, which required dilatation. At 3-year follow-up, the patient had both stomal and urinary continence. This is a safe and effective procedure to create a means of urinary catheterisation with avoidance of a large unsightly scar and comparable clinical outcome to an open procedure.
Division of Paediatric Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.
Ivy H Y
IH
Chan
Division of Paediatric Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.
Florence H Q
FH
Li
Division of Paediatric Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.
Lawrence C L
LC
Lan
Division of Paediatric Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.
Kenneth K Y
KK
Wong
Division of Paediatric Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.
Peter K F
PK
Yip
Division of Paediatric Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.
Paul K H
PK
Tam
D000714:Anastomosis, Surgical; D001065:Appendix / Q000601:surgery* / Q000637:transplantation; D002648:Child; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D003559:Cystostomy / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D009477:Hereditary Sensory and Autonomic Neuropathies / Q000150:complications; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D065287:Robotic Surgical Procedures / Q000379:methods*; D001743:Urinary Bladder / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery
Appendix/surgery; Child; Laparoscopy/methods; Robotics/methods