Intraoperative Cystoscopic Stent Placement in Robot-Assisted Pyeloplasty: A Novel and Efficient Technique

Wayment, Robert O.; Waller, Christine J.; Kramer, Brandan A.; Schwartz, Bradley F.

doi:10.1089/end.2008.0546

Cited by 10 publications

(3 citation statements)

References 14 publications

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“…A retrograde approach with flexible cystoscopy and extended surgical field has been reported. Flexible cystoscopy with the patient in the lateral position can be difficult especially in male infants [Wayment et al . 2009].…”

Section: Discussionmentioning

confidence: 99%

Stentless pediatric robotic pyeloplasty

Rodríguez¹,

Rich²,

Swana³

2012

Therapeutic Advances in Urology

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Abstract:Objectives: Open dismembered pyeloplasty remains the standard of care for the correction of ureteropelvic junction obstruction in children. We describe our experience with a tubeless, stentless pediatric robotic pyeloplasty technique. Methods: Between October 2008 and September 2009, 12 consecutive children underwent robotic dismembered pyeloplasty. Ureteral stents or nephrostomy tubes were not used. Operative time, hospital stay, days of Jackson-Pratt drainage, and complications were analyzed. Postoperative renal ultrasonography was obtained at 4-6 weeks after surgery. Results: The mean patient age was 9.1 years (3.5-16). The mean operative and console times were 178 (122-250) and 129 (96-193) minutes, respectively. The Jackson-Pratt drain was removed after a mean of 1.8 days (1-4). The mean hospital stay was 2.4 days (1-4.5). There were no complications. Mean follow up was 16 months (12-24 months). All patients had complete resolution of symptoms. Hydronephrosis either completely resolved or significantly decreased in all cases. In cases without complete resolution of hydronephrosis, 99m Tc-MAG-3 diuretic renography showed preservation of renal function without obstruction. Conclusions: Robot-assisted laparoscopic pyeloplasty can be safely performed without internal indwelling stent drainage. In children, this avoids the need for additional anesthesia and stent-related morbidity.

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Section: Discussionmentioning

confidence: 99%

Stentless pediatric robotic pyeloplasty

Rodríguez¹,

Rich²,

Swana³

2012

Therapeutic Advances in Urology

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“…Rodrigues et al used methylene blue to fill the bladder and its appearance through the stent holes as an indication of proper positioning [15], although this is unreliable if concomitant vesicoureteric reflux is present. Others reported the intraoperative placement of the JJ stent using timeconsuming flexible cystoscopy [16]. In order to avoid the second anesthetic for JJ removal, Yucel et al [17] reported the use of a urethral dangler to remove the stent, although this required cystoscopy for placement.…”

Section: Discussionmentioning

confidence: 99%

A novel technique of stenting for laparoscopic pyeloplasty in children

Eassa

Zahrani

Jednak

et al. 2012

Journal of Pediatric Urology

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“…Fiori et al and Wayment et al described the retrograde approach with flexible pneumo-cystoscopy and pointed out its utility [ 32 , 33 ]. Wu et al developed and described a new method in which retrograde and anterograde techniques are used together [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

An up-to-date overview of minimally invasive treatment methods in ureteropelvic junction obstruction

Ekin¹,

Çelik²,

İlbey³

2015

CEJU

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IntroductionOver the last two decades, minimally invasive treatment options for ureteropelvic junction obstruction have been developed and are bcoming more popular. Multiple series of laparoscopic pyeloplasty have demonstrated high success rates and low perioperative morbidity in pediatric and adult populations, for both the transperitoneal and retroperitoneal approaches. In this review, we aimed to analyze the current status of minimally invasive therapy of ureteropelvic junction obstruction.Material and methodsA PubMed database search was conducted to examine minimally invasive treatments of ureteropelvic junction obstruction.ResultsA large number of cases have been reported for adult patients, confirming that robotic pyeloplasty represents a viable option for either primary or secondary repair. Comparative studies demonstrate similar success and complication rates between minimally invasive and open pyeloplasty in both the adult and pediatric populations. A clear advantage, in terms of hospital stay, of minimally invasive over open pyeloplasty was observed only in the adult population.ConclusionsStudies have shown that minimally invasive pyeloplasty techniques are a safe, effective, and feasible in adult and pediatric populations.

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Intraoperative Cystoscopic Stent Placement in Robot-Assisted Pyeloplasty: A Novel and Efficient Technique

Abstract: This novel technique is a simple and efficient method of stent placement during RAP. It is performed simultaneously without the need for additional procedures, repositioning, or radiation exposure. Application of this technique may result in decreased operative time.

Cited by 10 publications

References 14 publications

Stentless pediatric robotic pyeloplasty

Stentless pediatric robotic pyeloplasty

A novel technique of stenting for laparoscopic pyeloplasty in children

An up-to-date overview of minimally invasive treatment methods in ureteropelvic junction obstruction

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