Category: Robotic Surgery: Upper Tract - Benign

VS16-11 - Robotic-Assisted Laparoscopic Ureterocalicostomy

Sun, Sep 23
2:00 PM - 4:00 PM

Introduction & Objective : In this video, we present robot-assisted laparoscopic repair of ureteropelvic junction obstruction (UPJO) and demonstrate technicalities of repair


Methods : This video demonstrates the surgical technique in an illustrative manner in an index case. The da Vinci Si robotic platform with the four-arm approach was used. The salient features includes 1.  four-port placement with patient in the lateral position 2. localization of lower calyx by intraoperative ultrasound probe,3.  lower polar segmental nephrectomy, 4.  anastomosis with absorbable sutures 5.  ureteric catheter placement


Results : The procedure was completed without any intraoperative complications. In the index case described, follow up MAG 3 renal scan and antegrade nephrostogram revealed resolution of obstruction. 


Conclusions : Robot-assisted laparoscopic ureterocalicostomy for secondary UPJO is safe and feasible in expert hands. Apart from the short recovery times, early mobilization, and decreased analgesic requirements, a robotic approach provides the added advantage of technical ease and precision of suturing. 

Mohammed Said

Resident
Department of Urology, Emory University School of Medicine
Atlanta, Georgia

Adam Lorentz

Resident
Department of Urology, Emory University School of Medicine
Atlanta, Georgia

Lindsey Hartsell

Asst Professor
Department of Urology, Emory University School of Medicine
Atlanta, Georgia

Aaron Lay

Asst Professor
Department of Urology, Emory University School of Medicine
Atlanta, Georgia

Dr. Lay received his medical degree from Washington University School of Medicine in St. Louis in 2009. He completed his general surgery internship and urology residency at Brigham and Women's Hospital, after which he did an endourology and minimally invasive surgery fellowship at the University of Texas Southwestern Medical Center from 2014-2016. Dr. Lay directs the Endourology and Kidney Stone Program at Grady Memorial Hospital.