Use of robotic-assisted laparoscopic Mitrofanoff appendicovesicostomy in a paediatric patient: problem encountered

Hong Kong Med J. 2015 Oct;21(5):468-70. doi: 10.12809/hkmj144340.

Abstract

This report is of robotic-assisted laparoscopic Mitrofanoff appendicovesicostomy in a 12-year-old patient with detrusor underactivity and hereditary sensory neuropathy. The whole operation was performed in 555 minutes with no open conversion. The patient experienced one episode of stomal stenosis, which required dilatation. At 3-year follow-up, the patient had both stomal and urinary continence. This is a safe and effective procedure to create a means of urinary catheterisation with avoidance of a large unsightly scar and comparable clinical outcome to an open procedure.

Keywords: Appendix/surgery; Child; Laparoscopy/methods; Robotics/methods.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical
  • Appendix / surgery*
  • Appendix / transplantation
  • Child
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / therapy
  • Cystostomy / adverse effects*
  • Cystostomy / methods*
  • Female
  • Hereditary Sensory and Autonomic Neuropathies / complications
  • Humans
  • Laparoscopy / methods*
  • Robotic Surgical Procedures / methods*
  • Urinary Bladder / surgery*
  • Urinary Incontinence / etiology
  • Urinary Incontinence / surgery