Megan O Schimpf1, Joseph R Wagner. 1. Division of Urogynecology, Department of Obstetrics & Gynecology, Hartford Hospital, Hartford, Connecticut, USA. mschimp@harthosp.org
Abstract
BACKGROUND: Robotic-assisted laparoscopic surgery is being applied to a growing number of procedures. PATIENT AND METHODS: A 32-year-old woman with ureteropelvic obstruction underwent a robotic-assisted laparoscopic ureterocalicostomy in 2005. She had an uncomplicated surgery with minimal blood loss and post-operative course. RESULTS: Imaging done serially after surgery remained stable. She became pregnant about 2 years later and ultimately required percutaneous nephrostomy for flank pain and worsening hydronephrosis in the third trimester. Nephrostogram after delivery showed a patent anastomosis, and the nephrostomy tube was removed. CONCLUSIONS: Robotic-assisted laparoscopy is an option for patients who require ureterocalicostomy. Long-term outcome at 3 years is favorable.
BACKGROUND: Robotic-assisted laparoscopic surgery is being applied to a growing number of procedures. PATIENT AND METHODS: A 32-year-old woman with ureteropelvic obstruction underwent a robotic-assisted laparoscopic ureterocalicostomy in 2005. She had an uncomplicated surgery with minimal blood loss and post-operative course. RESULTS: Imaging done serially after surgery remained stable. She became pregnant about 2 years later and ultimately required percutaneous nephrostomy for flank pain and worsening hydronephrosis in the third trimester. Nephrostogram after delivery showed a patent anastomosis, and the nephrostomy tube was removed. CONCLUSIONS: Robotic-assisted laparoscopy is an option for patients who require ureterocalicostomy. Long-term outcome at 3 years is favorable.
Authors: Marco Antonio Arap; Hiury Andrade; Fabio Cesar Miranda Torricelli; Francisco Tibor Denes; Anuar Ibrahim Mitre; Ricardo Jordão Duarte; Miguel Srougi Journal: Int Urol Nephrol Date: 2013-11-12 Impact factor: 2.370