Robotic-assisted laparoscopic transplant-to-native ureteroureterostomy in a pediatric patient.

Abstract

OBJECTIVE:

Management of late-occurring or long (>3 cm) post-transplant ureteral strictures usually requires open surgery, which includes ureteroureterostomy (UU) as an option. Recently, robotic-assisted laparoscopic UU for ectopic ureters in a duplicated system has been described. We report a case of a robotic-assisted laparoscopic transplant-to-native side-to-side UU in a 14-year-old girl with a stricture of nearly two-thirds of her transplant ureter 5 years after a cadaveric renal transplant.

RESULTS:

Robotic-assisted laparoscopic native-to-transplant UU was performed with resultant durable improvement in the patient's hydronephrosis and kidney function.

CONCLUSION:

Based on our case and review of the literature, robotic-assisted laparoscopic UU should be part of the armamentarium for long or late-occurring transplant ureteral strictures.

• Authors: Diana K Bowen, Jessica T Casey, Earl Y Cheng, Edward M Gong
• Journal: Journal of pediatric urology (J Pediatr Urol) Vol. 10 Issue 6 Pg. 1284.e1-2 (Dec 2014) ISSN: 1873-4898 [Electronic] England
• PMID: 25438962 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2014 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

Topics

• Adolescent
• Constriction, Pathologic
• Fanconi Syndrome (surgery)
• Humans
• Hydronephrosis (surgery)
• Kidney Transplantation (adverse effects)
• Robotics
• Ureter (pathology, surgery, transplantation)
• Ureteral Diseases (surgery)
• Ureterostomy (methods)