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    All major surgery of the urinary tract in children more than 6 Kg by keyhole technique (Laparoscopy & Robotic) available in our unit

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Robotic Pediatric Urology

Pediatric Urology is a well-established subspecialty of Pediatric Surgery in the developed countries. At Apollo hospital New Delhi, we have established one of India’s first centres with comprehensive facility for evaluation and treatment of all urological disorders in babies from congenital malformations to tumours with results at par with the western world using all modern technology including endourology, laparoscopic, robotic urology and laser treatment.

At Apollo, our initial experience with robotic pediatric urology has been very pleasing and satisfactory. In the last 10 months twenty five infants and children have undergone robotic minimally invasive procedures which included robotic pyeloplasty, partial nephrectomy, nephroureterectomy, ureteric reimplantation, panhysterectomy and vaginal substitution. The indications for surgery were pelviureteric junction obstruction, vesicoureteric reflux, non-functioning moiety of duplex kidney, nonfunctiong refluxing kidney, extravesical obstructing ureterocele, Meyer-Rokitansky syndrome and completely virilising congenital adrenal hyperplasia. Postoperative period was uneventful in all with the advantage of short hospital stay, less pain and better cosmetic appearance of minimally invasive approach.

 
Robotic theatre   Da vinci robotic system
   
 
Robotic OT layout   Surgeon at console
   
 
PUJ obstruction (CECT for trauma)   Cystoscopy, retrograde pyelogram,
DJ stenting
   
 
Retrograde pyelogram   Robotic pyeloplasty
   
 
One year follow-up   3 year boy, recurrent urinary infection
   
 
Non-functioning, refluxing lower pole   Robotic heminephroureterectomy
   
 
Postoperative smooth recovery   Bilateral obstructing ureterocele
   
 
Preoperative intravenous pyelogram   Postoperative intravenous pyelogram
   
 
Scarless major uro reconstruction   PUJ obstruction in horse shoe kidney
   
 
CECT   Robotic pyeloplasty
   
 
Preoperative Retrograde pyelogram   Postoperative pyelogram