Abstract
BackgroundIncidence of simultaneous renal cyst with calyceal diverticula in contralateral kidney is rare in children. A minimally invasive procedure in different sittings is often recommended.Case presentationA Chinese 15-month-old boy presented to the Urology department of a tertiary care center with right flank pain. He was subjected to magnetic resonance urography and was diagnosed as having right renal cyst and contralateral calyceal diverticula. He underwent robotic cyst decortication and calyceal diverticulectomy using da Vinci robot. His postoperative period was uneventful. He was discharged on fifth postoperative day. Histopathology was consistent with simple renal cyst.ConclusionsRobotic combined cyst decortication and contralateral diverticulectomy is feasible in selected small children. However, it demands adequate technical skill and experience.
Highlights
Incidence of simultaneous renal cyst with calyceal diverticula in contralateral kidney is rare in children
It has been reported that the prevalence of simple renal cyst (SRC) ranges from 5 to 41% in adults; the rate in children is low but it increases with age from 0.22 to 0.55% [4]
Robot-assisted surgery with the da Vinci Surgical System is increasingly being applied in a wide range of surgical specialties, especially in urology [5]
Summary
A calyceal diverticulum is an outpouching of the renal collecting system lying within the renal parenchyma [1]. Robot-assisted surgery with the da Vinci Surgical System is increasingly being applied in a wide range of surgical specialties, especially in urology [5]. There are few articles reporting the procedure of robot-assisted one-stage surgery for bilateral renal lesions, especially in toddlers. To show the feasibility of this technique and critically evaluate it, we reported this case of robot-assisted simultaneous cyst decortication and calyceal diverticulectomy. Case presentation A Chinese 15-month-old boy presented to the Urology department of a tertiary care center with right flank pain. Most of the cyst wall was excised and sent for histopathological examination (Fig. 4) This was followed by contralateral procedure on right side in same sitting. With 1-year follow up after the surgery, the child did not have any complaints, and postoperative ultrasound images showed no hydrops or diverticulum associated with either kidney
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