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Robot‐assisted laparoscopic pyeloplasty in the management of lower pole ureteropelvic junction obstruction in a patient with an incomplete duplicated collecting system
Ist Teil von
IJU case reports, 2023-11, Vol.6 (6), p.357-361
Ort / Verlag
Tokyo: John Wiley & Sons, Inc
Erscheinungsjahr
2023
Link zum Volltext
Quelle
Wiley-Blackwell Journals
Beschreibungen/Notizen
Introduction
The performance of robot‐assisted laparoscopic pyeloplasty has recently been increasing in frequency. However, patients with duplicated renal pelvises and ureters can present challenges.
Case presentation
A 71‐year‐old woman presented with flank pain and was diagnosed with ureteropelvic junction obstruction with an incomplete duplicated collecting system. Preoperative imaging did not reveal the details of the stenosis. Therefore, three reconstructive procedures were prepared: The Anderson–Hynes procedure, end‐to‐side pyeloureterostomy, and upper pole ureter to lower pole pyeloplasty with the Anderson–Hynes procedure for the lower pole. These procedures were determined by the length of the intact ureter and the presence of crossed vessels. During the surgery, the crossing vein was severed, allowing successful reconstruction with Anderson–Hynes anastomosis.
Conclusion
Preoperative evaluation and preparation of multiple surgical techniques are crucial in robot‐assisted laparoscopic pyeloplasty for incomplete duplicated collecting systems.