V10-12: SINGLE SITE ROBOTIC URETEROPIELOPLASTY IN AN INVERTED KIDNEY
VideoIntroductions and Objectives
3 decades ago, right renal grafts were placing in an inverted position to get an anterior urinary tract, more useful in cases of complications.
We present an infrequent case of a 51 year -old transplanted woman with a 24 years old graft placed in an inverted position in the right iliac fossa. In the last 2 years presents 2 episodes of renal failure due to urinary obstruction in a malfunctionating loop, resolved with an antegrade doble J. Complementary studies demonstrated an ascended loop in a right inverted graft. _x000D_ The scintigraphy shows a delayed pelvic kidney with preserved function.
Given these results we decided to perfom a single site robotic modified ureteropyeloplasty without section of the pelvis neither the ureter.We present the patient positioning, single port placement, robot docking, and intraoperative dissection and suturing in this case.
Robotic technology has become available to urologists to facilitate pyeloplasty, specially in difficult cases such as transplanted kidneys._x000D_ We present our experience with the first single site robotic surgery which we think it will became the future of the robotic surgery.