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CASE REPORT
Year : 2016  |  Volume : 32  |  Issue : 4  |  Page : 314-316

Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challenge


1 Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Urology, Nehru Hospital, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Ravimohan S Mavuduru
Department of Urology, Nehru Hospital, Postgraduate Institute of Medical Education and Research, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.191264

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Management of pelvi-ureteric junction obstruction (PUJO) in a duplex system is technically challenging as dissection at the pelvis may jeopardize the vascularity of the normal moiety ureter. Anastomosing the pelvis to the one single ureter will have a risk of future development of stricture which then will risk both the moieties. Robotic assistance enables appropriate tissue dissection; minimal handling of normal ureter and precision in suturing, overcoming the potential challenges involved in the minimally invasive management of such complex cases. We report the feasibility and efficacy of robot-assisted laparoscopic pyeloplasty in such case.


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