Robot-Assisted Laparoscopic Bilateral Ureteroureterostomies

Abstract

Introduction: We demonstrate a technique for robot-assisted laparoscopic bilateral ureterouretero-stomies of upper pole to lower pole ureters through a single approach. The patient is a 2-year-old girl with a history of bilateral reflux who was found to have bilateral ectopic ureters. Historically, repair of these ureters would have required two separate incisions. To our knowledge, this is the first published report describing a single-approach technique. Materials and Methods: The surgery was performed transperitoneally using four ports, approaching the ureters through the broad ligament at the level between the bladder and the uterus. A “hitch stitch” was used to suspend each lower pole ureter to facilitate anastomosis.1 Results and Conclusions: Operative time was 230 min, and there were no major intraoperative or postoperative complications. The patient was doing well at her 2-month follow-up, with no urinary tract infections or other complaints. Follow-up ultrasonography showed resolving hydronephrosis. Robot-assisted laparoscopic surgery is a viable option for managing bilateral ectopic ureters. No competing financial interests exist. Runtime of video: 7 min 42 sec