Case Report: Robot-Assisted Laparoscopic Reconstruction of a Ureteropelvic Junction Disruption

Abstract

PURPOSE: We present our experience with robot-assisted laparoscopic repair of a ureteropelvic junction (UPJ) disruption in a child. CASE REPORT: An 11-year-old boy was found to have a UPJ disruption after being struck by an automobile. After unsuccessful retrograde ureteral-stent placement, a percutaneous nephrostomy tube was placed for a planned delayed repair because of the patient's multiple injuries. One month later, the patient underwent laparoscopic repair with the DaVinci robotic system using a four-port transperitoneal technique. At 3 months' follow-up, a diuretic renogram demonstrated no obstruction. CONCLUSION: A minimally invasive laparoscopic approach using the DaVinci system is feasible in the repair of a traumatic UPJ disruption.