1. Robotic-assisted excision of a giant ureteral stump in a child: Case report and Non-systematic review of the Literature
- Author
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F. Pierangeli, E. Bindi, A. Cruccetti, F. Nino, G. Gentilucci, and Giovanni Cobellis
- Subjects
Ureter ,Stump ,Robotic-assisted surgery ,Child ,Pediatric ,Abdominal mass ,Pediatrics ,RJ1-570 ,Surgery ,RD1-811 - Abstract
Background: Radical removal of the ureter is not routinary performed during nephrectomy/hemineprectomy, distal ureteral stump syndrome may follow. Case summary: A 17-year-old male with urinary malformation history came to the emergency department for abdominal pain and tenesmus. Imaging revealed a huge abdominal mass, compatible with a massively dilated residual ureteral stump resulting from heminephrectomy operation performed 7 years before for a complete right duplex system with hypoplasia of the upper right system. A robotic procedure was planned and the stump, which was ectopic and drained into the seminal vesicles, was successfully removed. The patient was discharged after recovery; he was followed up for one year after surgery without any complications. Conclusion: Ureteral stumps rarely require reoperation, but our case suggests a need for long-term follow-up. Robotic-assisted excision showed to be a safe and effective technique for surgical management of a massively dilated ectopic stump in the pediatric population.
- Published
- 2023
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