Robot-Assisted Laparoscopic Ureterocalicostomy in the Setting of Ureteropelvic Junction Obstruction: A Multi-Institutional Cohort.

Journal: The Journal of urology
PMID:

Abstract

PURPOSE: Recurrent ureteropelvic junction obstruction (UPJO) after failed pyeloplasty is a complex surgical dilemma. The robot-assisted laparoscopic ureterocalicostomy (RALUC) is a potential surgical approach, but widespread adoption is limited due to the perceived technical challenge of the procedure. We present a multi-institutional pediatric cohort undergoing RALUC for recurrent or complex UPJO, and hypothesize that the procedure is reproducible, safe and efficacious.

Authors

  • Sameer Mittal
    Division of Urology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA; Division of Urology, Hospital of the University of Pennsylvania, Perelman Center for Advanced Care, 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104, USA.
  • Aznive Aghababian
    Division of Urology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA.
  • Sahar Eftekharzadeh
    Division of Urology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA.
  • Sonam Saxena
    Division of Urology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
  • Karmon Janssen
    Children's Healthcare of Atlanta and Emory University School of Medicine, Atlanta, Georgia.
  • Alyssa Lombardo
    University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA.
  • Brittany Adamic
    The University of Chicago Medicine Comer Children's Hospital, Chicago, Illinois.
  • Lauren Dinardo
    Division of Urology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA.
  • John Weaver
    Division of Urology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA.
  • Katherine Fischer
    Department of Surgery, Division of Pediatric Urology, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, United States; Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, United States.
  • Ciro Andolfi
    Department of Surgery, Center for Simulation, The University of Chicago Pritzker School of Medicine , Chicago Illinois.
  • Christopher Long
    Division of Urology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA.
  • Dana Weiss
    Division of Urology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
  • Andrew Kirsch
    Children's Healthcare of Atlanta and Emory University School of Medicine, Atlanta, Georgia.
  • Arun Srinivasan
    Division of Urology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
  • Mohan Gundeti
    University of Chicago Medicine Comer Children's Hospital, 5721 S Maryland Ave, Chicago, IL, 60637, USA.
  • Aseem R Shukla
    Minimally Invasive Surgery, Division of Urology, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 3rd Floor, Wood Building, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address: shuklaa@email.chop.edu.