Minimally invasive techniques are rapidly being developed and integrated into standard open urologic surgery. Over the last 10 years, the urologic literature is replete with novel techniques and adaptations to conventional laparoscopy, including but not limited to laparo-endoscopic single-site surgery, natural orifice transluminal endoscopic surgery, and robot-assisted laparoscopic surgery (RALS). Pediatric urology is no exception to this trend, and the benefits of minimally invasive surgery may be accentuated in children given the relatively more confined working spaces and also a heightened awareness of cosmetic results for the pediatric population. Increasingly, complex pediatric urologic procedures are being performed with robot assistance. The feasibility of nephrectomy, pyeloplasty, ureteral reimplantation, and bladder surgery has been clearly established. A few case reports and a small series have been published describing robot-assisted Mitrofanoff appendicovesicostomy (APV) with or without augmentation ileocystoplasty or creation of an anterograde continent enema colon tube [1-3].
Gargollo, P. C., Manzoni, G., Rocco, B. M. C., Robotic bladder outlet procedures, in Girolamo Mattioli E Paolo Petrali, G. M. E. P. P. (ed.), Pediatric Robotic Surgery: Technical and Management Aspects, Springer International Publishing, Cham, Svizzera 2017: 109- 120. 10.1007/978-3-319-41863-6_12 [https://hdl.handle.net/10807/347756]
Robotic bladder outlet procedures
Rocco, Bernardo Maria Cesare
2017
Abstract
Minimally invasive techniques are rapidly being developed and integrated into standard open urologic surgery. Over the last 10 years, the urologic literature is replete with novel techniques and adaptations to conventional laparoscopy, including but not limited to laparo-endoscopic single-site surgery, natural orifice transluminal endoscopic surgery, and robot-assisted laparoscopic surgery (RALS). Pediatric urology is no exception to this trend, and the benefits of minimally invasive surgery may be accentuated in children given the relatively more confined working spaces and also a heightened awareness of cosmetic results for the pediatric population. Increasingly, complex pediatric urologic procedures are being performed with robot assistance. The feasibility of nephrectomy, pyeloplasty, ureteral reimplantation, and bladder surgery has been clearly established. A few case reports and a small series have been published describing robot-assisted Mitrofanoff appendicovesicostomy (APV) with or without augmentation ileocystoplasty or creation of an anterograde continent enema colon tube [1-3].
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