Abstract
Pediatric urologic robotic surgery is emerging as a potentially useful option to gain the benefits of laparoscopic reconstruction, such as decreased perioperative morbidity and improved cosmesis, without having the challenging learning curve of delicate reconstructive laparoscopy in children. Initial experience, particularly with pyeloplasty (described in this chapter) suggests great potential for a wide variety of procedures, including partial nephrectomy, anti-refluxwureteral surgery, continent catheterizable stomas, bladder neck surgery, and retrovesical surgery for persistent Müllerian structures. While the benefits of laparoscopy can be seen in older children, it is difficult to prove this benefit in young children who recover rapidly. This should not be an excuse to restrict application of this potentially valuable technology on the basis of age. Pyeloplasty and ureteral reimplantation has been successfully performed in children as young as 3 months of age in this author’s hands, including as day surgery. New applications should be explored with caution and optimism, followed by a critical and honest appraisal.
This chapter contains a video segment which can be found at the URL: http://www.springerimages.com/Su
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Lee RS, Retik AB, Borer JG, Peters CA (2006) Pediatric robot assisted laparoscopic dismembered pyeloplasty: comparison with a cohort of open surgery. J Urol 175:683–7, discussion 7
Passerotti CC, Nguyen HT, Eisner BH, Lee RS, Peters CA (2007) Laparoscopic reoperative pediatric pyeloplasty with robotic assistance. J Endourol 21:1137–40
Lee RS, Sethi AS, Passerotti CC et al (2009) Robot assisted laparoscopic partial nephrectomy: a viable and safe option in children. J Urol 181:823–8, discussion 8–9
Peters CA, Woo R (2005) Intravesical robotically assisted bilateral ureteral reimplantation. J Endourol 19:618–21, discussion 21–2
Passerotti C, Peters CA (2006) Pediatric robotic-assisted laparoscopy: a description of the principle procedures. Sci World J 6:2581–8
Casale P, Patel RP, Kolon TF (2008) Nerve sparing robotic extravesical ureteral reimplantation. J Urol 179:1987–9, discussion 90
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary material
Video 16.1 Robotic partial nephrectomy in a child (133 MB)
Video 16.2 Robotic pyeloplasty in children (68.3 MB)
Video 16.3 Extravesical ureteroplasty with robotic assistance (69.0 MB)
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Thomas, K., Peters, C.A. (2011). Pediatric Urologic Robotic Procedures. In: Su, LM. (eds) Atlas of Robotic Urologic Surgery. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60761-026-7_16
Download citation
DOI: https://doi.org/10.1007/978-1-60761-026-7_16
Published:
Publisher Name: Humana Press
Print ISBN: 978-1-60761-025-0
Online ISBN: 978-1-60761-026-7
eBook Packages: MedicineMedicine (R0)