A Comparison of Laparoscopic Pyeloplasty Performed with the daVinci Robotic System versus Standard Laparoscopic Techniques: Initial Clinical Results

Gettman, Matthew T.; Peschel, Reinhard; Neururer, Richard; Bartsch, Georg

doi:10.1016/s0302-2838(02)00373-1

Cited by 187 publications

(96 citation statements)

References 24 publications

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“…This has led to shorter operative times with similar success rates compared to the straight laparoscopic approach. 7,8 We present our experience with the minimally invasive treatment and long-term followup of UPJO.…”

Section: Discussionmentioning

confidence: 99%

The Minimally Invasive Treatment of Ureteropelvic Junction Obstruction: A Review of Our Experience During the Last Decade

et al. 2008

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Section: Discussionmentioning

confidence: 99%

The Minimally Invasive Treatment of Ureteropelvic Junction Obstruction: A Review of Our Experience During the Last Decade

et al. 2008

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“…The most recent reports show a lower learning curve and shorter operative time, resulting mainly from a higher skill in surgery and simplification of suture (23), besides the opportunity to perform the treatment of bilateral pathology cases at once, with practicality, safety and without functional loss (24). The costs of robotic surgery are major limitations to the procedure application in several centers.…”

Section: Commentsmentioning

confidence: 99%

Transperitoneal laparoscopic pyeloplasty: Brazilian initial experience with 55 cases

et al. 2010

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Purpose: To evaluate prospectively the results obtained in 55 patients undergoing laparoscopic pyeloplasty through transperitoneal access. Materials and Methods: From January 2005 to July 2009, fifty-five patients between 13 and 64 years old, were treated for ureteropelvic junction (UPJ) stenosis via a transperitoneal laparoscopy. All patients had clinical symptoms of high urinary obstruction and hydronephrosis confirmed by imaging methods. Anderson-Hynes dismembered pyeloplasty was performed in 51 patients and Fenger technique in the other 4 cases. Patients were clinically and imaging evaluated in the postoperative period at 3 and 6 months and then followed-up annually. Results: The operative time ranged from 95 to 270 min. The mean hospital stay was 2 days. The average blood loss was 170 mL. The time to return to normal activities ranged from 10 to 28 days. Anomalous vessels were identified in 27 patients, intrinsic stenosis in 23 patients and 5 patients had high implantation of the ureter. Laparoscopic pyelolithotomy was successfully performed in 6 patients with associated renal stones. That series monitoring ranged from 1 to 55 months. One patient had longer urinary fistula (11 days), 3 patients had portal infection and 6 patients had prolonged ileus. There was one conversion due to technical difficulties. From the later postoperative complications, 2 patients had re-stenosis, one determined by Anderson-Hynes technique and the other by Fenger technique. The success rate was 95.65%. Conclusions: Laparoscopic pyeloplasty has functional results comparable to conventional open technique. It offers less morbidity, with aesthetic and post-operative convalescence benefits and lower complication rates.

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“…15 Our centre's long-term results in 55 patients and our surgical times of under 3 hours support this claim. 16,17 In summary, if patients have access to experienced laparoscopic surgeons or moderately experienced surgeons with advanced (albeit expensive) technology, I believe that the laparoscopic pyeloplasty should be offered as the current gold standard for the repair of uncomplicated adult UPJO.…”

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confidence: 58%

The gold standard for the treatment of uncomplicated adult ureteropelvic junction obstruction

Luke

2013

CUAJ

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A Comparison of Laparoscopic Pyeloplasty Performed with the daVinci Robotic System versus Standard Laparoscopic Techniques: Initial Clinical Results

Cited by 187 publications

References 24 publications

The Minimally Invasive Treatment of Ureteropelvic Junction Obstruction: A Review of Our Experience During the Last Decade

The Minimally Invasive Treatment of Ureteropelvic Junction Obstruction: A Review of Our Experience During the Last Decade

Transperitoneal laparoscopic pyeloplasty: Brazilian initial experience with 55 cases

The gold standard for the treatment of uncomplicated adult ureteropelvic junction obstruction

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