Category: Robotic Surgery: Upper Tract - Benign

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. 

Presenting Author(s)

• MS

  Mohammed Said

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

Author(s)

• AL

  Adam Lorentz

  – Resident, Department of Urology, Emory University School of Medicine, Atlanta, Georgia
• LH

  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