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Robot-assisted uretero-ureterostomy.

J Pediatr Urol

February 2025

IRCCS Istituto Giannina Gaslini, Pediatric Surgery, Genoa, Italy; University of Genoa, DINOGMI, Genoa, Italy.

Introduction: Robotic uretero-ureterostomy (RUU) is a minimally invasive surgical technique that has gained popularity in recent years, especially for the treatment of duplex systems, as an alternative to ureteral reimplantation.

Aims Of The Study: Focusing on technical considerations and supporting its use, we aim to describe our procedure and results in children.

Materials And Methods: From November 2018 to December 2023, we collected data on RUU performed by Da Vinci Surgical Robot Xi® in pediatric patients at our center.

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Background: Delayed migration of non-absorbable surgical clips into the urinary tract is a rare but potentially morbid complication that may lead to pain, infection, stone formation, and urinary obstruction. The literature on clip erosion into the upper tracts are limited to a handful of case reports of case reports. The purpose of our study was to review outcomes of robotic ureteral reconstruction (RUR) of non-absorbable clip erosion into the ureter.

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Modified J-shaped incision for combined pediatric liver-kidney transplants (CLKT): Focusing on the urological outcomes.

J Pediatr Urol

January 2025

Department of Pediatric Surgery, Vall d'Hebron University Hospital, Passeig de la Vall d'Hebron 119-129, 08035, Barcelona, Spain; Urology and Renal Transplant Unit, Vall d'Hebron University Hospital, Passeig de la Vall d'Hebron 119-129, 08035, Barcelona, Spain.

Objectives: Combined liver-kidney transplants (CLKT) are performed through two separate incisions. Our aim was to describe our initial experience using a modified J-shaped incision to perform a single-access CLKT and evaluate the results focusing on the urological outcomes and complications.

Methods: We performed a retrospective analysis of all pediatric liver-kidney transplants (LKT) performed at our center between January 2000-December 2022 using the modified single J-shaped incision.

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We describe a case of a 78-year-old male with a history of Gleason score 9 prostate cancer treated with a robotic-assisted radical prostatectomy, who developed symptoms of right ureteric obstruction four years later. Diagnostic evaluation revealed right sided hydroureteronephrosis on imaging. Further correlation with prostate specific antigen (PSA) and histopathology from a distal ureterectomy with reimplantation revealed metastatic prostate cancer as the cause of obstruction with incidental focal carcinoma in situ (CIS) also identified.

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Iatrogenic lesions of the distal ureter represent a frequent and feared complication of abdominal surgery that is traditionally managed by ureteral reimplantation. The aim of this systematic review (SR) is to summarize the published literature on the role of minimally invasive ureteroureterostomy (UU) in the surgical treatment of non-neoplastic distal ureteral lesions. We performed a comprehensive literature search on PubMed, Embase, and Cochrane CENTRAL including published peer-reviewed studies according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.

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