Robotic-Assisted Laparoscopic Mitrofanoff Appendicovesicostomy (RALMA)

Abstract

Robotic-assisted approaches are increasingly used for pediatric procedures. Neurogenic bladder and other emptying pathology pose a unique problem for pediatric patients who are limited in their ability to catheterize per urethra. The Mitrofanoff procedure creates an effective conduit to allow for effective bladder emptying while maintaining continence. While the Mitrofanoff procedure has traditionally been performed using an open surgery technique, robotic-assisted approaches have been associated with decreased hospital stay, reduced postoperative pain, and lessened cosmetic damage [1].