This video demonstrates robot-assisted laparoscopic tapered ureteral reimplantation in a 3-year-old girl. The procedure illustrates a minimally invasive approach to pediatric ureteral reconstruction. The video focuses on identification and mobilization of the ureter, preparation of the distal ureter, tapering of the ureter when required, and reconstruction of the ureterovesical junction. Particular attention is given to preservation of the ureteral blood supply, appropriate ureteral length, and creation of a tension-free anastomosis. The case highlights the use of robotic visualization and articulated instruments for precise dissection and intracorporeal suturing in a small pediatric operative field.
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