V09-03 PELVIC KIDNEY ROBOTIC ASSISTED LAPAROSCOPIC PYELOPLASTY: TECHNICAL CONSIDERATIONS

You have accessJournal of UrologyUpper Tract Reconstruction (V09)1 Sep 2021V09-03 PELVIC KIDNEY ROBOTIC ASSISTED LAPAROSCOPIC PYELOPLASTY: TECHNICAL CONSIDERATIONS Daniel Au, and David Duchene AuDaniel Au More articles by this author , DucheneDavid View All Author Informationhttps://doi.org/10.1097/JU.0000000000002052.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pelvic kidneys are uncommon with an estimated incidence approximately 1 in 3,000 persons. characterized arrested renal developmental ascent the pelvis. typically malrotated high pelvis ureteral insertion widely variant vasculature. As many as 37% will associated ureteropelvic junction obstruction. Various approaches pelvic kidney pyeloplasty been taken over decades more recently minimally invasive robotic utilized. Owing unique anatomy there several technical anatomic considerations that should be considered which we aim demonstrate video. METHODS: Using a da Vinci surgical system, performed assisted laparoscopic dismembered on patient left We recorded case considerations, anatomy, technique for performing RESULTS: Robotic is safe effective approach challenging obstructions pose. Patients can either placed lateral decubitus position or lithotomy depending orientation kidney. CONCLUSIONS: While overall, common these initially present symptomatically adulthood. Although often compared horseshoe kidneys, significantly different than differ both port placement well increased difficulty attaining adequate operative exposure. Crossing vessels etiology obstruction may critical surrounding structures. Due risk injuring major adjacent vasculature aberrant blood supply, careful pre-operative radiographic studies delineate vascular recommended. Ureteropelvic repair aimed at reconstructing most dependent portion Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e687-e688 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...