Robot-assisted ureteroureterostomy in pediatric patients: current perspectives.

摘要: Developments in pediatric robotic surgery have increased the feasibility of minimally invasive for complex urinary tract reconstruction. Ureteroureterostomy is a commonly employed strategy management duplicated ureteral system with either upper pole obstruction or lower vesicoureteral reflux, and this approach minimizes risk to healthy ureter as might be seen common sheath reimplant avoids dissection around renal hilum heminephrectomy. The platform enables optimum instrument manipulation an end-to-side anastomosis well excellent visualization deep into pelvis excision distal stump. In study, indications preoperative evaluation ureteroureterostomy (RUU) were described intraoperative considerations successful repair highlighted. order assess outcomes, PubMed search was performed find articles focusing on RUU population. institutional experience authors also reviewed. As open procedure, both minimizing recipient ensuring tension-free, watertight are key principles minimize complications. Although port placement similar that pyeloplasty, small adjustments may need made ensure access pelvis. An assistant and/or traction sutures often used aid anastomosis. first 2008, several reports demonstrated positive short-term results. However, median follow-up times limited most series reporting outcomes <1 year postoperatively. A future study required establish long-term efficacy procedure define patient population approach.