466 ROBOTIC-ASSISTED LAPAROSCOPIC HEMI-NEPHRECTOMY AN OUTCOMES ANALYSIS IN A PEDIATRIC POPULATION

You have accessJournal of UrologyPediatrics: Congenital Anomalies - Kidney & Ureter1 Apr 2012466 ROBOTIC-ASSISTED LAPAROSCOPIC HEMI-NEPHRECTOMY AN OUTCOMES ANALYSIS IN A PEDIATRIC POPULATION L.I. Smith-Harrison, Matthew Mason, C.D. Anthony Herndon, Craig Peters, and Sean Corbett L.I. Smith-HarrisonL.I. Smith-Harrison Charlottesville, VA More articles by this author , Matthew MasonMatthew Mason Charlottesville, VA More articles by this author , C.D. Anthony HerndonC.D. Anthony Herndon Charlottesville, VA More articles by this author , Craig PetersCraig Peters Washington, DC More articles by this author , and Sean CorbettSean Corbett Charlottesville, VA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.534AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Herein we present our surgical outcomes in a pediatric population following robotic-assisted laparoscopic (RAL) heminephrectomy. METHODS After institutional review board approval, a retrospective chart review was performed from 2006-2011. A total of 19 patients (15 girls), who underwent a RAL heminephrectomy (15 superior moiety) for duplicated collecting systems, were available for review. The mean age at operation was 4.4 years. Operative surgeons included three different pediatric urologists. Outcome variables assessed included operative time, blood loss, length of stay, surgical and post-operative complications. RESULTS Three ports sites (substernal, umbilical and lower midline or midclavicular) were used for the procedure. The articulating hook cautery device was used through the substernal port and served a dual purpose as a cautery device and retractor for reflection of the liver or spleen without the need for a fourth port. Mean operative time for this cohort was 302 minutes, mean blood loss was 38.9 mL, and mean length of stay was 37 hours. Mean follow-up was 40 months. Only 1 patient had an additional procedure (Clavian III complication) for an incarcerated hernia at the umbilical port site. After initial one-month follow-up ultrasound, 5/19 (26.3%) patients demonstrated a fluid collection. The fluid collections are stable or resolving, while being followed conservatively. CONCLUSIONS RAL heminephrectomy is a proven modality for extirpative surgery of a non-functional moiety in a duplex collecting system in pediatric patients. The functionality of the articulating instrument with the robotic system allows for the use of only 3 small port sites. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e191 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information L.I. Smith-Harrison Charlottesville, VA More articles by this author Matthew Mason Charlottesville, VA More articles by this author C.D. Anthony Herndon Charlottesville, VA More articles by this author Craig Peters Washington, DC More articles by this author Sean Corbett Charlottesville, VA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...