Casale Pasquale, Lambert Sarah
Children's Hospital of Philadelphia, University of Pennsylvania, 34th Street and Civic Center Boulevard Wood Building 3rd Floor, Philadelphia, PA, 19107, USA.
J Robot Surg. 2009 Oct;3(3):161. doi: 10.1007/s11701-009-0153-7. Epub 2009 Sep 10.
Duplex collecting system pathology can be handled using an ablative procedure or reconstructive procedure even in the light of a poorly functioning moiety. We propose that, when a reconstructive procedure is an option, a robotic ureteroureterostomy is safe and feasible. Fifteen children between the ages of 6 months and 10 years (mean 31.26 months) underwent transperitoneal robotic ureteroureterostomy for duplex collecting system pathology. The surgical procedure included transperitoneal robotic approach. Outcome measures included operative time, length of hospital stay, and resolution of symptoms. Mean operative time was 1.2 h (range 0.75-2.2 h) for the entire procedure, including the cystoscopic evaluation. Length of stay averaged 20.8 h (range 15-26 h). All postoperative imaging demonstrated intact, well-draining collecting systems. The presenting symptomatology resolved in all the patients in whom symptoms were present. Robotic ureteroureterostomy is feasible and safe in the pediatric population and should be considered part of the surgical armamentarium when upper tract preservation seems warranted.
即使存在功能不佳的部分，重复集合系统病变也可通过消融手术或重建手术来处理。我们提出，当重建手术是一种选择时，机器人辅助输尿管输尿管吻合术是安全可行的。15名年龄在6个月至10岁（平均31.26个月）的儿童因重复集合系统病变接受了经腹机器人辅助输尿管输尿管吻合术。手术过程包括经腹机器人入路。观察指标包括手术时间、住院时间和症状缓解情况。整个手术（包括膀胱镜检查）的平均手术时间为1.2小时（范围0.75 - 2.2小时）。住院时间平均为20.8小时（范围15 - 26小时）。所有术后影像学检查均显示集合系统完整且引流良好。所有有症状的患者症状均得到缓解。机器人辅助输尿管输尿管吻合术在儿科人群中是可行且安全的，当似乎有必要保留上尿路时，应将其视为手术手段的一部分。
