V3-02 ROBOTIC-ASSISTED LAPAROSCOPIC MANAGEMENT OF AN UPPER POLE ECTOPIC URETER WITH LOWER POLE VESICOURETERAL REFLUX

2014 ◽  
Vol 191 (4S) ◽  
Author(s):  
Daniel Mazur ◽  
Israel Nosnik ◽  
Edward Gong
Keyword(s):  
Vesicoureteral Reflux ◽  
Ectopic Ureter ◽  
Lower Pole ◽  
Robotic Assisted ◽  
Laparoscopic Management

scholarly journals Robotic-Assisted Laparoscopic Management of Vesicoureteral Reflux

2008 ◽  
Vol 2008 ◽  
pp. 1-4 ◽  
Author(s):  
Thomas Lendvay
Keyword(s):  
Robotic Surgery ◽  
Vesicoureteral Reflux ◽  
Patient Selection ◽  
Reflux Disease ◽  
Surgical Outcomes ◽  
Patient Positioning ◽  
Robotic Assisted ◽  
Laparoscopic Management ◽  
Robotic Assisted Laparoscopy

Robotic-assisted laparoscopy (RAL) has become a promising means for performing correction of vesicoureteral reflux disease in children through both intravesical and extravesical techniques. We describe the importance of patient selection, intraoperative patient positioning, employing certain helpful techniques for exposure, and recognizing the limitations and potential complications of robotic reimplant surgery. As more clinicians embrace robotic surgery and more urology residents are trained in robotics, we anticipate an expansion of the applications of robotics in children. We believe that it is necessary to develop robotic surgery curricula for novice roboticists and residents so that patients may experience improved surgical outcomes.

scholarly journals Normal functioning single system ectopic ureter draining into a Gartner's cyst: laparoscopic management

2013 ◽  
Vol 2013 (jun03 1) ◽  
pp. bcr2013009563-bcr2013009563 ◽  
Author(s):  
J. Prakash ◽  
B. P. Singh ◽  
S. Sankhwar ◽  
A. Goel
Keyword(s):  
Ectopic Ureter ◽  
Single System ◽  
Normal Functioning ◽  
Laparoscopic Management

Duplex, ectopic, and horseshoe kidneys

2015 ◽  
Author(s):  
Michiel F. Schreuder
Keyword(s):  
Urinary Tract ◽  
Vesicoureteral Reflux ◽  
Horseshoe Kidney ◽  
Abdominal Ultrasound ◽  
High Rate ◽  
Ectopic Ureter ◽  
Duplex System ◽  
Renal Ectopia ◽  
Contralateral Kidney ◽  
Duplex Systems

A duplex urinary tract, irrespective of the degree of duplication, is present in 0.8% at autopsy, of which about 20–35% is bilateral. The majority of duplex systems are incomplete, indicating that the ipsilateral ureters fuse before entering the bladder. A complete duplex system shows anomalies of the upper moiety, with associated ureterocele or ectopic ureter, and of the lower moiety, frequently associated with vesicoureteral reflux. Renal ectopia is a rare (1/1000) congenital defect where the kidney is not located in the renal fossa, and is associated with a high rate of hydronephrosis, vesicoureteral reflux, and abnormal contralateral kidney. In a horseshoe kidney (present in 1/400 to 1/1800), fusion of the two kidneys takes place, but the two renal moieties are still located on both sides of the midline. As the lower poles are fused in the midline, a horseshoe kidney is usually located lower than normal and orientation of the renal axis is shifted, which may guide diagnosis during abdominal ultrasound.

Laparoscopic management of a transitional cell carcinoma arising in a right ectopic ureter

2006 ◽  
Vol 13 (3) ◽  
pp. 287-288 ◽  
Author(s):  
GREGORY VERHOEST ◽  
NATHALIE RIOUX-LECLERCQ ◽  
FRANCOIS GUILLE ◽  
KARIM BENSALAH ◽  
BERNARD LOBEL ◽  
...  
Keyword(s):  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Transitional Cell ◽  
Ectopic Ureter ◽  
Laparoscopic Management

scholarly journals Upper Pole Nephrectomy: A Simplified Technique Using a Retroperitoneal Laparoscopic Approach

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Joana Pereira ◽  
Angélica Osório ◽  
João Moreira-Pinto ◽  
José Cidade-Rodrigues ◽  
Carlos Enes ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Blood Loss ◽  
Operative Time ◽  
Laparoscopic Approach ◽  
Renal Tissue ◽  
Vascular Supply ◽  
Ectopic Ureter ◽  
Lower Pole ◽  
Renal Hilum ◽  
Collecting System

Objective. To describe a simplified technique already used in our institution for several years in the open heminephrectomy for duplication anomalies, now performed through a retroperitoneal laparoscopic approach.Methods. The technique begins with upper pole parenchyma incision since the demarcation between the affected upper moiety and the healthy lower pole is easily established. The dissection proceeds until the urothelium of the collecting system is entered, which will guide further excision, minimizing damage of the surrounding structures. The vascular supply is then identified since the upper pole is attached to the remaining renal parenchyma only by these structures that can be safely divided. Dissection and division of the ectopic ureter is carried next.Results. The operative time was 188 minutes. The blood loss was not significant, and there were no other complications during the procedure. The patient was discharged home 48 hours after the procedure, without any early or late postoperative complications.Conclusion. We believe this simplified technique allows a safer excision of nonfunctioning upper pole renal tissue by avoiding the initial dissection of the renal hilum, which associated with the known advantages of a laparoscopic approach makes us consider it the procedure of choice for upper pole nephrectomy in children.

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