Robotic renal cyst decortication with calyceal diverticulectomy in a toddler - technical practicalities: a case report

Incidence of simultaneous renal cyst with calyceal diverticula in contralateral kidney is rare in children. A minimally invasive procedure in different sittings is often recommended.

A Chinese 15-month-old boy presented to the Urology department of a tertiary care center with right flank pain. He was subjected to magnetic resonance urography and was diagnosed as having right renal cyst and contralateral calyceal diverticula. He underwent robotic cyst decortication and calyceal diverticulectomy using da Vinci robot. His postoperative period was uneventful. He was discharged on fifth postoperative day. Histopathology was consistent with simple renal cyst.

Robotic combined cyst decortication and contralateral diverticulectomy is feasible in selected small children. However, it demands adequate technical skill and experience.

Journal of medical case reports. 2018 Oct 02*** epublish ***

Yi-Chun Wang, Jia-Dong Xia, Qi-Jie Zhang, Chen Chen, Jian-Xin Xue, Jie Yang, Chao Qin, Ning-Hong Song, Zeng-Jun Wang

Department of Urology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, China., Department of Urology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, China. .