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Case report: robotic-assisted laparoscopic ureterocalicostomy with long-term follow-up.

BACKGROUND
Robotic-assisted laparoscopic surgery is being applied to a growing number of procedures.


PATIENT AND METHODS
A 32-year-old woman with ureteropelvic obstruction underwent a robotic-assisted laparoscopic ureterocalicostomy in 2005. She had an uncomplicated surgery with minimal blood loss and post-operative course.


RESULTS
Imaging done serially after surgery remained stable. She became pregnant about 2 years later and ultimately required percutaneous nephrostomy for flank pain and worsening hydronephrosis in the third trimester. Nephrostogram after delivery showed a patent anastomosis, and the nephrostomy tube was removed.


CONCLUSIONS
Robotic-assisted laparoscopy is an option for patients who require ureterocalicostomy. Long-term outcome at 3 years is favorable.