Outcomes of robot-assisted laparoscopic transperitoneal pyeloplasty procedures: a series of 18 patients

Ener, Kemal; Altinova, Serkan; Canda, Abdullah Erdem; Ozcan, Muhammet Fuat; Asil, Erem; Ürer, Emre; Atmaca, Ali Fuat; Akbulut, Ziya

doi:10.5152/tud.2014.33898

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…An important disadvantage that can be encountered during robot-assisted pyeloplasty is that it is not possible to use fluoroscopy due to the robotic tower. Failing to fluoroscopically evaluate patients, who have undergone stone extraction or ureteral stent placement, in terms of residual stone and stent's location during the procedure would cause that any problem that can be solved at the moment cannot be detected, leading to morbidity [22]. A study on this situation found extended duration of urinary drainage associated with the migration of ureteral stent to kidney in 3 patients and presence of residual stone in 2 patients after the RAP follow-ups of 86 patients in total.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of robot-assisted transperitoneal pyeloplasty: Case series

Karabulut¹,

Yılmaz²,

Yılmazel³

et al. 2019

Journal of Surgery and Medicine

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Aim: Ureteral pelvic junction (UPJ) obstruction, which restricts the passage of urine from the pelvis to the ureter may cause progressive destruction of the kidney if left untreated. Causes of UPJ obstruction include various intrinsic and extrinsic factors. Symptomatic UPJ obstruction should be treated without delay. We herein aimed to present the results of robot-assisted pyeloplasty (RAP) that we performed in our clinic. Methods: Data of 15 patients who underwent RAP between January 2017 and 2019 in our clinic were examined. The diagnosis of ureteropelvic junction obstruction (UPJO) was based on intravenous pyelography (IVP), and diuresis renography (DTPA) was performed during follow-up. Dismembered pyeloplasty was performed on all patients with the DaVinci XI 4-arm robotic system. The results were retrospectively evaluated. Results: The mean age of all patients was 41.3 (8.2) years. There were 7 males and 8 females. None of the cases had previously undergone pyeloplasty. While 6 of the patients had intrinsic obstruction, 9 had extrinsic obstruction associated with aberrant vascular compression. The mean operation time and duration of anastomosis were 155.3 (29.8) and 33.4 (8.1) minutes, respectively. The mean amount of intraoperative bleeding was 48 (10.2) ml. The mean hospital stay was found as 3.6 (1.1) days. There was no conversion to open surgery in any of the patients. None of the patients had intraoperative or postoperative complications. The mean follow-up time was 12.7 (5.4) months. Postoperative IVP and DTPA of all the patients were found to have improved. Conclusion: RAP is a minimally invasive method with successful surgical and functional outcomes in the treatment of UPJO.

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Section: Discussionmentioning

confidence: 99%

Outcomes of robot-assisted transperitoneal pyeloplasty: Case series

Karabulut¹,

Yılmaz²,

Yılmazel³

et al. 2019

Journal of Surgery and Medicine

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“…The key to good repair is a widely patent, watertight, tensionless anastomosis that allows dependent drainage [ 12 ]. This procedure can be performed transperitoneally or retroperitoneally [ 13 , 14 ]. Moreover, the use of the transmesenteric approach has also been described, particularly on the left side, which avoids reflection of the colon [ 15 ].…”

Section: Robotic Pyeloplastymentioning

confidence: 99%

The robot-assisted ureteral reconstruction in adult: A narrative review on the surgical techniques and contemporary outcomes

Bhat

Moschovas

Patel

et al. 2021

Asian Journal of Urology

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Despite the rapid increase in the use of robotic surgery in urology, the majority of ureteric reconstruction procedures are still performed using laparoscopic or open approaches. This is primarily due to uncertainty regarding the advantages of robotic approaches over conventional ones, and the unique difficulty in identifying the specific area of interest due to the lack of tactile feedback from the current robotic systems. However, with the potential benefits of minimal invasiveness, several pioneering reports have been published on robotic surgery in urology. By reviewing the literature on this topic, we aimed to summarize the techniques, considerations, and consistent findings regarding robotic ureteral reconstruction in adults. Robotic applications for ureteral surgery have been primarily reported for pediatric urology, especially in the context of relieving a congenital obstruction in the ureteral pelvic junction. However, contemporary studies have also consistently demonstrated that robotic surgery could be a reliable option for malignant, iatrogenic, and traumatic conditions, which generally occur in adult patients. Nevertheless, the lack of comparative studies on heterogeneous hosts and disease conditions make it difficult to determine the benefit of the robotic approach over the conventional approach in the general population; thus, qualified prospective trials are needed for wider acceptance. However, contemporary reports have demonstrated that the robotic approach could be an alternative option for ureteral construction, even in the absence of haptic feedback, which can be compensated by various surgical techniques and enhanced three-dimensional visualization.

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Robot Assisted Pyeloplasty

Hemal

2018

Robotics in Genitourinary Surgery

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Outcomes of robot-assisted laparoscopic transperitoneal pyeloplasty procedures: a series of 18 patients

Cited by 3 publications

References 26 publications

Outcomes of robot-assisted transperitoneal pyeloplasty: Case series

Outcomes of robot-assisted transperitoneal pyeloplasty: Case series

The robot-assisted ureteral reconstruction in adult: A narrative review on the surgical techniques and contemporary outcomes

Robot Assisted Pyeloplasty

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