PURPOSE: To present our initial experience with laparoscopic pyeloplasty utilizing the da Vinci robot for upper tract reconstruction. CASE REPORT: A four-port transperitoneal approach was used in a 73-year-old man. The ureteropelvic (UPJ) obstruction was identified with a crossing vessel. After dismemberment of the UPJ, the renal pelvis was trimmed and reconstructed using the da Vinci robot. The total operative time was 5 hours; the time spent for reconstruction was 45 minutes. Blood loss was <150 mL. The postoperative analgesic requirement was 8 mg of morphine and 25 mg of hydrocodone. There were no intraoperative or postoperative complications. CONCLUSION: The da Vinci robot can serve as a vital surgical tool during pyeloplasty with extensive reconstruction.
PURPOSE: To present our initial experience with laparoscopic pyeloplasty utilizing the da Vinci robot for upper tract reconstruction. CASE REPORT: A four-port transperitoneal approach was used in a 73-year-old man. The ureteropelvic (UPJ) obstruction was identified with a crossing vessel. After dismemberment of the UPJ, the renal pelvis was trimmed and reconstructed using the da Vinci robot. The total operative time was 5 hours; the time spent for reconstruction was 45 minutes. Blood loss was <150 mL. The postoperative analgesic requirement was 8 mg of morphine and 25 mg of hydrocodone. There were no intraoperative or postoperative complications. CONCLUSION: The da Vinci robot can serve as a vital surgical tool during pyeloplasty with extensive reconstruction.
Authors: Michael A Palese; Ravi Munver; Courtney K Phillips; Caner Dinlenc; Michael Stifelman; Joseph J DelPizzo Journal: JSLS Date: 2005 Jul-Sep Impact factor: 2.172
Authors: Jonathan E Bernie; Ramakrishna Venkatesh; James Brown; Thomas A Gardner; Chandru P Sundaram Journal: JSLS Date: 2005 Jul-Sep Impact factor: 2.172
Authors: Mario F Chammas; Anuar I Mitre; Marco A Arap; Nicholas Hubert; Jacques Hubert Journal: Clinics (Sao Paulo) Date: 2019-06-27 Impact factor: 2.365