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Robotic Assisted Laparoscopic Mitrofanoff Appendicovesicostomy: Preliminary Experience in a Pediatric Population

2009; Lippincott Williams & Wilkins; Volume: 182; Issue: 4 Linguagem: Inglês

10.1016/j.juro.2009.06.055

1527-3792

Hiep T. Nguyen, Carlo C. Passerotti, Frank J. Penna, Alan B. Retik, Craig A. Peters,

Urological Disorders and Treatments

No AccessJournal of UrologyPediatric Urology1 Oct 2009Robotic Assisted Laparoscopic Mitrofanoff Appendicovesicostomy: Preliminary Experience in a Pediatric Population Hiep T. Nguyen, Carlo C. Passerotti, Frank J. Penna, Alan B. Retik, and Craig A. Peters Hiep T. NguyenHiep T. Nguyen More articles by this author , Carlo C. PasserottiCarlo C. Passerotti More articles by this author , Frank J. PennaFrank J. Penna More articles by this author , Alan B. RetikAlan B. Retik More articles by this author , and Craig A. PetersCraig A. Peters More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2009.06.055AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Continent urinary diversion has a central role in treating various urinary tract conditions and traditionally has been performed as an open procedure. We report on 10 patients who underwent a robotic assisted laparoscopic Mitrofanoff procedure using the da Vinci® surgical system. Materials and Methods: Patients had bladder dysfunction of various etiologies, including posterior urethral valves and neurogenic bladder. Preoperatively all patients unsuccessfully attempted clean intermittent catheterization via the urethra. Results: Mean operative time was 323 minutes (range 181 to 507). One case was converted to open surgery secondary to an inadequate appendix discovered intraoperatively. Mean estimated blood loss was 48.4 cc (range 5 to 200). Median hospitalization was 5 days. Median followup was 14.2 months. Urinary leakage developed postoperatively in 1 patient, requiring an open revision. Minor incontinence developed in 2 cases, of which 1 was corrected with dextranomer/hyaluronic acid injection and 1 resolved without intervention. Conclusions: The robotic assisted laparoscopic Mitrofanoff procedure is feasible to perform, is associated with satisfactory outcomes and minimal complications, and has the benefits of a minimally invasive approach. References 1 : Trans-appendicular continent cystostomy in the management of the neurogenic bladder. Chir Pediatr1980; 21: 297. Google Scholar 2 : The Mitrofanoff procedure: 20 years later. J Urol2001; 165: 2394. Link, Google Scholar 3 : Appendicovesicostomy and newer alternatives for the Mitrofanoff procedure: results in the last 100 patients at Riley Children's Hospital. J Urol1999; 162: 1749. Link, Google Scholar 4 : Laparoscopic creation of a catheterizable cutaneous ureterovesicostomy. Urology1997; 49: 272. Google Scholar 5 : Laparoscopic assisted reconstructive surgery: a 7-year experience. J Urol2004; 171: 372. 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Google Scholar Department of Urology, Children's Hospital Boston, Boston, Massachusetts© 2009 by American Urological AssociationFiguresReferencesRelatedDetailsCited byGrimsby G, Jacobs M and Gargollo P (2018) Comparison of Complications of Robot-Assisted Laparoscopic and Open Appendicovesicostomy in ChildrenJournal of Urology, VOL. 194, NO. 3, (772-776), Online publication date: 1-Sep-2015.Dangle P, Kearns J, Anderson B and Gundeti M (2018) Outcomes of Infants Undergoing Robot-Assisted Laparoscopic Pyeloplasty Compared to Open RepairJournal of Urology, VOL. 190, NO. 6, (2221-2227), Online publication date: 1-Dec-2013.Wille M, Zagaja G, Shalhav A and Gundeti M (2018) Continence Outcomes in Patients Undergoing Robotic Assisted Laparoscopic Mitrofanoff AppendicovesicostomyJournal of Urology, VOL. 185, NO. 4, (1438-1443), Online publication date: 1-Apr-2011.VanderBrink B, Kaefer M, Cain M, Meldrum K, Misseri R and Rink R (2011) Extravesical Implantation of a Continent Catheterizable ChannelJournal of Urology, VOL. 185, NO. 6S, (2572-2575), Online publication date: 1-Jun-2011. Volume 182Issue 4October 2009Page: 1528-1534 Advertisement Copyright & Permissions© 2009 by American Urological AssociationKeywordssurgical stomascystostomylaparoscopyurinary diversionroboticsMetricsAuthor Information Hiep T. Nguyen More articles by this author Carlo C. Passerotti More articles by this author Frank J. Penna More articles by this author Alan B. Retik More articles by this author Craig A. Peters More articles by this author Expand All Advertisement PDF downloadLoading ...