Long-term results with the laparoscopic transposition of renal lower pole crossing vessels

With a long postoperative follow-up, the robotic-assisted or laparoscopic vascular hitch procedure has been successful in treating a selected group of children with obstructive LPCV, and represents a safe and reliable alternative to standard dismembered pyeloplasty in the absence of intrinsic PUJO suspected on prenatal US.Table. Laparoscopic Transposition of Lower-pole crossing vesselsPatients70Age at surgery (years)8.3 [2.75-16]Male/female44/26Pre-natal history of hydronephrosis9 (13%)Pre-operative US pelvis AP diameter (mm)33 [16-60]Pre-operative Mag-3 impaired ipsilateral function (45%)32 (46%)Laparoscopic/robotic-assisted procedure42/28Duration of procedure (minutes)120 [60-280]Follow-up (months)52 [13-114]Complications Clavien IIIb (failure)3 Clavien IIIb (urinoma)1 Clavien I2Success67 (96%)