PMID- 31760787
OWN - NLM
STAT- MEDLINE
DCOM- 20210427
LR  - 20210427
IS  - 1557-900X (Electronic)
IS  - 0892-7790 (Linking)
VI  - 34
IP  - 3
DP  - 2020 Mar
TI  - A Novel Surgical Technique for Obstructed Megaureter: Robot-Assisted Laparoscopic 
      Dismembered Extravesical Cross-Trigonal Ureteral Reimplantation-Short-Term 
      Assessment.
PG  - 249-254
LID - 10.1089/end.2019.0192 [doi]
AB  - Purpose: To describe our experience with robot-assisted laparoscopic dismembered 
      extravesical cross-trigonal ureteral reimplantation (RADECUR)-a novel minimally 
      invasive surgical technique for treatment of obstructed megaureter. Materials and 
      Methods: A retrospective review of our prospectively collected data, of all 
      pediatric patients who underwent unilateral RADECUR for the treatment of primary 
      or secondary obstructed megaureter at two medical centers during a 3-year period. 
      Patient demographics, perioperative data, surgical technique, complications, and 
      results are described. Results: Thirty-five pediatric patients underwent RADECUR 
      between January 2016 and May 2019. Median age and weight at surgery were 28 
      months (interquartile range [IQR]: 20-58) and 20 kg (IQR: 13-27), respectively. 
      There were no conversions to an open procedure. Median console time was 100 
      minutes (IQR: 90-125). Ten patients underwent intracorporeal excisional tapering 
      of the obstructed ureter. Mean pre- and postoperative ureteral diameters were 
      14.5 mm (IQR: 12-18) and 7 mm (IQR: 0-10), respectively (p < 0.0001). All but one 
      patient demonstrated a reduction in hydronephrosis and ureteral diameter on 
      follow-up ultrasonography. Grade 1-2 Clavien-Dindo complications occurred in five 
      patients (14%) and another patient developed a grade 3 complication. Three 
      patients developed postoperative febrile urinary tract infection, one of them was 
      found to have high-grade reflux and subsequently underwent open ureteral 
      reimplantation. Conclusions: Unilateral robotic extravesical cross-trigonal 
      ureteral reimplantation for treatment of obstructed megaureter in the pediatric 
      population is safe and effective. Further larger scale comparative studies with 
      other surgical techniques are needed to determine the role of RADECUR in the 
      armamentarium of treatment for distal ureteral obstruction.
FAU - Neheman, Amos
AU  - Neheman A
AD  - Department of Urology, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
AD  - Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
FAU - Kord, Eyal
AU  - Kord E
AD  - Department of Urology, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
AD  - Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
FAU - Koucherov, Stanislav
AU  - Koucherov S
AD  - Departments of Urology and Pediatric Urology, Shaare Zedek Medical Center, 
      Jerusalem, Israel.
AD  - Faculty of Medicine, Hebrew University, Jerusalem, Israel.
FAU - Kafka, Ilan
AU  - Kafka I
AD  - Departments of Urology and Pediatric Urology, Shaare Zedek Medical Center, 
      Jerusalem, Israel.
AD  - Faculty of Medicine, Hebrew University, Jerusalem, Israel.
FAU - Gaber, Jaudat
AU  - Gaber J
AD  - Departments of Urology and Pediatric Urology, Shaare Zedek Medical Center, 
      Jerusalem, Israel.
AD  - Faculty of Medicine, Hebrew University, Jerusalem, Israel.
FAU - Noh, Paul H
AU  - Noh PH
AD  - Division of Pediatric Urology, Cincinnati Children's Hospital Medical Center, 
      Cincinnati, Ohio.
FAU - Zisman, Amnon
AU  - Zisman A
AD  - Department of Urology, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
AD  - Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
FAU - Chertin, Boris
AU  - Chertin B
AD  - Departments of Urology and Pediatric Urology, Shaare Zedek Medical Center, 
      Jerusalem, Israel.
AD  - Faculty of Medicine, Hebrew University, Jerusalem, Israel.
LA  - eng
PT  - Journal Article
DEP - 20200302
PL  - United States
TA  - J Endourol
JT  - Journal of endourology
JID - 8807503
SB  - IM
MH  - Child
MH  - Child, Preschool
MH  - Humans
MH  - *Laparoscopy
MH  - Replantation
MH  - Retrospective Studies
MH  - *Robotic Surgical Procedures
MH  - *Robotics
MH  - Treatment Outcome
MH  - *Ureter/surgery
MH  - *Ureteral Obstruction/surgery
MH  - Urologic Surgical Procedures
MH  - *Vesico-Ureteral Reflux/surgery
OTO - NOTNLM
OT  - pediatrics
OT  - primary obstructive megaureter
OT  - robotic surgery
OT  - ureteral reimplantation
EDAT- 2019/11/26 06:00
MHDA- 2021/04/28 06:00
CRDT- 2019/11/26 06:00
PHST- 2019/11/26 06:00 [pubmed]
PHST- 2021/04/28 06:00 [medline]
PHST- 2019/11/26 06:00 [entrez]
AID - 10.1089/end.2019.0192 [doi]
PST - ppublish
SO  - J Endourol. 2020 Mar;34(3):249-254. doi: 10.1089/end.2019.0192. Epub 2020 Mar 2.