Robotic-assisted excision of a giant ureteral stump in a child: Case report and Non-systematic review of the Literature
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 h...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576623000490 |
| _version_ | 1797829532641656832 |
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| author | F. Pierangeli E. Bindi A. Cruccetti F. Nino G. Gentilucci Giovanni Cobellis |
| author_facet | F. Pierangeli E. Bindi A. Cruccetti F. Nino G. Gentilucci Giovanni Cobellis |
| author_sort | F. Pierangeli |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T13:21:46Z |
| format | Article |
| id | doaj.art-1e5af02915604d9a95856ee494e7a6a8 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-09T13:21:46Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-1e5af02915604d9a95856ee494e7a6a82023-05-11T04:23:52ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-06-0193102623Robotic-assisted excision of a giant ureteral stump in a child: Case report and Non-systematic review of the LiteratureF. Pierangeli0E. Bindi1A. Cruccetti2F. Nino3G. Gentilucci4Giovanni Cobellis5Pediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, Italy; Università Politecnica of Marche, Ancona, Italy; Corresponding author. Pediatric Surgery Unit, Salesi Children's Hospital, Via F. Corridoni 11, 60123, Ancona, Italy.Pediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, Italy; Università Politecnica of Marche, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, Italy; Università Politecnica of Marche, Ancona, ItalyBackground: 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.http://www.sciencedirect.com/science/article/pii/S2213576623000490UreterStumpRobotic-assisted surgeryChildPediatricAbdominal mass |
| spellingShingle | F. Pierangeli E. Bindi A. Cruccetti F. Nino G. Gentilucci Giovanni Cobellis Robotic-assisted excision of a giant ureteral stump in a child: Case report and Non-systematic review of the Literature Journal of Pediatric Surgery Case Reports Ureter Stump Robotic-assisted surgery Child Pediatric Abdominal mass |
| title | Robotic-assisted excision of a giant ureteral stump in a child: Case report and Non-systematic review of the Literature |
| title_full | Robotic-assisted excision of a giant ureteral stump in a child: Case report and Non-systematic review of the Literature |
| title_fullStr | Robotic-assisted excision of a giant ureteral stump in a child: Case report and Non-systematic review of the Literature |
| title_full_unstemmed | Robotic-assisted excision of a giant ureteral stump in a child: Case report and Non-systematic review of the Literature |
| title_short | Robotic-assisted excision of a giant ureteral stump in a child: Case report and Non-systematic review of the Literature |
| title_sort | robotic assisted excision of a giant ureteral stump in a child case report and non systematic review of the literature |
| topic | Ureter Stump Robotic-assisted surgery Child Pediatric Abdominal mass |
| url | http://www.sciencedirect.com/science/article/pii/S2213576623000490 |
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