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Oral Presentation - 27
Robot-Assisted Laparoscopic Pyeloplasty in Children
P Mandhan, MJ Ali, AR El-Kadhi, A Zaroug
Department of Paediatric Surgery, Hamad Medical Corporation, Qatar Weill Cornell Medical College-Q, Cornell Universty, NY
Aim: We evaluated outcomes of our robot-assisted laparoscopic pyeloplasty (RALP) procedures in children.
MATERIALS AND METHODS: In the period under review, 15 children (mean age 6.7 years, range 4–9 years) underwent RALP at our instiyute. All patients underwent unilateral primary pyeloplasty and one patient had a redo pyeloplasty. Anderson-Hynes dismembered pyeloplasty was performed in all primary cases where as Y-V plasty was carried out in redo pyeloplasty patient, and a transperitoneal approach was used in all cases by using the da Vinci-S 4-arm surgical robot. Double J stents were placed in all cases for 3-4 weeks.
RESULTS: The mean total operative time was 105 minutes (75–190 minutes), average dissection time and the anastomosis time was 25 minutes (20–60 minutes) and 45 minutes (32–70 minutes) respectively. The mean blood loss was 30mL. Mean hospital stay was 2.5 (1-6) days. No conversion to open surgery was required and no intraoperative complication occurred. Morbidity was observed in 3 cases, which include wound infection, urine leak and stent migration. Median follow-up was 20 (2-52) months. Postoperative ultrasound and renography showed improved results in all cases.
CONCLUSION: RALP is a safe and effective minimally invasive treatment modality in children with PUJO for primary and redo pyeloplasty.
Robot-Assisted Laparoscopic Pyeloplasty in Children
P Mandhan, MJ Ali, AR El-Kadhi, A Zaroug
Department of Paediatric Surgery, Hamad Medical Corporation, Qatar Weill Cornell Medical College-Q, Cornell Universty, NY
Aim: We evaluated outcomes of our robot-assisted laparoscopic pyeloplasty (RALP) procedures in children.
MATERIALS AND METHODS: In the period under review, 15 children (mean age 6.7 years, range 4–9 years) underwent RALP at our instiyute. All patients underwent unilateral primary pyeloplasty and one patient had a redo pyeloplasty. Anderson-Hynes dismembered pyeloplasty was performed in all primary cases where as Y-V plasty was carried out in redo pyeloplasty patient, and a transperitoneal approach was used in all cases by using the da Vinci-S 4-arm surgical robot. Double J stents were placed in all cases for 3-4 weeks.
RESULTS: The mean total operative time was 105 minutes (75–190 minutes), average dissection time and the anastomosis time was 25 minutes (20–60 minutes) and 45 minutes (32–70 minutes) respectively. The mean blood loss was 30mL. Mean hospital stay was 2.5 (1-6) days. No conversion to open surgery was required and no intraoperative complication occurred. Morbidity was observed in 3 cases, which include wound infection, urine leak and stent migration. Median follow-up was 20 (2-52) months. Postoperative ultrasound and renography showed improved results in all cases.
CONCLUSION: RALP is a safe and effective minimally invasive treatment modality in children with PUJO for primary and redo pyeloplasty.