Robotic Heminephrectomy for Renal Congenital Anomalies: Tips, Tricks and Outcomes

Michael W. Sourial; Debra zynger, Geoffrey N. Box

Product Details
Product ID: ACS-5671
Year Produced: 2018
Length: 7 min.


Although they usually present in childhood, renal congenital anomalies may present in adulthood. The literature is sparse on outcomes of adult patients treated with robotic partial nephrectomy for benign congenital renal anomalies. We present our outcomes and some tips and tricks that may facilitate robotic partial nephrectomy for congenital renal anomalies. Materials and Methods: Retrospective chart review of patients who underwent robotic partial nephrectomy for symptomatic benign renal congenital anomalies between 2010 and 2016. Demographic, perioperative outcomes, and resolution of presenting symptom was abstracted from patient charts. Results: Six patients underwent a robotic partial nephrectomy for various benign renal congenital anomalies: atrophic upper pole/stone (2), ectopic ureter (2), calyceal diverticulum (2). Median (IQR) age was 35 years (33 - 37). Median (IQR) operating time and blood loss was 265 minutes (250 - 280), and 125 mL (100 - 187), respectively. Median (IQR) length of stay was 36 hours (35 - 38). The presenting symptom [pain (4), infection (1), and incontinence (1)] resolved in all patients after the procedure, with full preservation of renal function. One patient had a postoperative meatal stenosis that required a meatotomy. Video discusses five tips and tricks that can help facilitate robotic partial nephrectomy for congenital renal anomalies. Conclusion: Robotic partial nephrectomy for symptomatic renal congenital anomalies is a safe and effective procedure at relieving the presenting symptom.