This video demonstrates robot-assisted left Lich–Gregoir ureteral reimplantation in a 15-month-old girl weighing 9 kg. The procedure illustrates a robotic approach to pediatric ureteral reconstruction. Key steps include identification and mobilization of the distal ureter, preparation of the bladder, creation of the submucosal tunnel, and reimplantation of the ureter using the Lich–Gregoir technique. Particular attention is given to maintaining an appropriate ureteral length, preserving the blood supply, and constructing a tension-free anastomosis. The video highlights the use of articulated robotic instruments for precise dissection and intracorporeal suturing in a small pediatric operative field.
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