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VR-3
(VS)
ROBOTIC TRANSMESENTRIC RETEROCAVAL URETERAL RECONSTUCTION
Alireza ALAM
1
, Rafael GOSALBEZ
2
, Michal AHDOOT
2
and Miguel CASTELLAN
2
1) MIAMI CHILDREN'S HOSPITAL, PEDIATRIC UROLOGY, MILLER SCHOOL OF MEDICINE, Miami, USA - 2) MIAMI
CHILDREN'S HOSPITAL, PEDIATRIC UROLOGY, Miami, USA
PURPOSE
A 17 year old boy presented with incidental right hydronephrosis. Further work up demonstrated right retrocaval ureter.
Robotic reconstruction of right ureter through transmesentric approach was performed.
MATERIAL AND METHODS
17 year old boy was diagnosed with incidental right hydronephrosis . MAG 3 scan showed good renal function bilaterally.
CT scan with contrast was compatible with right retrocaval ureter. Retrograde pylogram was performed that confirmed
the dignosis . Robotic transmesentric right ureteral reconstruction without mobilizing right colon, as is most commonly
done, was performed. With this approach operative time is shorter and dissection easier.
RESULTS
The surgery was done uneventfully. Three month post-operative ultrasound showed minimal right hydronephrosis that
was markedly improved.
CONCLUSIONS
Robotic transmesentric repair of retrocaval ureter is a feasible procedure with reduced operative time and dissection,
compared to traditional approach that is done with right colon mobilization.