González-Serrano A, Cortez-Betancourt R, Alías-Melgar A, Carreño-De la Rosa F, Botello-Gómez PJ, Trujillo-Vázquez EI, Ordoñez-Campos E, Rodríguez-Alvarado RC

Language: Spanish
References: 10
Page: 78-84
PDF size: 268.67 Kb.

ABSTRACT

Background: In 63% of the patients with ureteropelvic junction obstruction, there is a so-called “aberrant” vessel that crosses in front of the ureter, reducing its lumen. These vessels are anatomic variants of vessels arising from the abdominal aorta and the renal artery.
Clinical case: A 26-year-old woman had a past history of high blood pressure of one-year progression, pain in the right renal fossa, and recurrent urinary infections. A computed tomography urogram identified right hydronephrosis and an aberrant vessel at the level of the ureteropelvic junction on the right side. A kidney scintigram with a diuretic revealed an obstructive curve in the right kidney unit. Robotic-assisted dismembered ureteropyeloplasty was performed with no complications, using the da Vinci® Surgical System. Surgery duration was 110 min. The patient was released from the hospital on the second postoperative day. The double-J catheter was removed after six weeks and a repeat scintigram was carried out one month after catheter removal.
Conclusion: Robotic-assisted ureteropyeloplasty is a safe and effective minimally invasive method for correcting ureteropelvic junction obstruction.

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