Rishi Nayyar1, Narmada P Gupta, Ashok K Hemal. 1. Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. nayyarrishi@gmail.com
Abstract
PURPOSE: To assess the feasibility and outcomes of robotic pyeloplasty for complicated cases of ureteropelvic junction obstruction (UPJO). METHODS: Complicated UPJO cases included patients with the following: concomitant multiple or calyceal stones, secondary UPJO (post-ureteroscopy, open or percutaneous surgery), malrotated kidney, horseshoe kidney, ectopic kidney, giant hydronephrosis, poorly functioning kidney (glomerular filtration rate <20 ml/min), non-redundant renal calyces (requiring nephroplication), ptosis of the kidney (requiring nephropexy), long stricture (>2 cm), age <5 or >60 years and duplex pelvis. All cases underwent dismembered robotic pyeloplasty. Data were collected for operative time, blood loss, stone clearance, analgesic usage and time to recovery. Follow-up was done with intravenous urography and dynamic renal scan. RESULTS: A total of 29 cases underwent dismembered robotic pyeloplasty with an average operative time and blood loss of 130 min and 50 ml. Stone clearance could be achieved in 8 out of 10. The average follow-up period was 15 months with a symptomatic and objective success rate of 96.6% (28/29). No perioperative complications were noted. CONCLUSIONS: Robotic pyeloplasty for complicated cases of UPJO is feasible, safe and effective, and has a durable success rate.
PURPOSE: To assess the feasibility and outcomes of robotic pyeloplasty for complicated cases of ureteropelvic junction obstruction (UPJO). METHODS: Complicated UPJO cases included patients with the following: concomitant multiple or calyceal stones, secondary UPJO (post-ureteroscopy, open or percutaneous surgery), malrotated kidney, horseshoe kidney, ectopic kidney, giant hydronephrosis, poorly functioning kidney (glomerular filtration rate <20 ml/min), non-redundant renal calyces (requiring nephroplication), ptosis of the kidney (requiring nephropexy), long stricture (>2 cm), age <5 or >60 years and duplex pelvis. All cases underwent dismembered robotic pyeloplasty. Data were collected for operative time, blood loss, stone clearance, analgesic usage and time to recovery. Follow-up was done with intravenous urography and dynamic renal scan. RESULTS: A total of 29 cases underwent dismembered robotic pyeloplasty with an average operative time and blood loss of 130 min and 50 ml. Stone clearance could be achieved in 8 out of 10. The average follow-up period was 15 months with a symptomatic and objective success rate of 96.6% (28/29). No perioperative complications were noted. CONCLUSIONS: Robotic pyeloplasty for complicated cases of UPJO is feasible, safe and effective, and has a durable success rate.
Authors: Patrick W Mufarrij; Michael Woods; Ojas D Shah; Michael A Palese; Aaron D Berger; Raju Thomas; Michael D Stifelman Journal: J Urol Date: 2008-08-15 Impact factor: 7.450
Authors: Costas D Lallas; Raymond W Pak; Christopher Pagnani; Scott G Hubosky; Brent V Yanke; Frank X Keeley; Demetrius H Bagley Journal: World J Urol Date: 2010-03-05 Impact factor: 4.226
Authors: Tushar Aditya Narain; Ravimohan S Mavuduru; Aditya P Sharma; Girdhar S Bora; Sudheer K Devana; Shrawan K Singh; Arup K Mandal Journal: J Robot Surg Date: 2018-06-06
Authors: Julian Hanske; Alejandro Sanchez; Marianne Schmid; Christian P Meyer; Firas Abdollah; Florian Roghmann; Adam S Feldman; Adam S Kibel; Jesse D Sammon; Joachim Noldus; Quoc-Dien Trinh; Jairam R Eswara Journal: World J Urol Date: 2015-05-13 Impact factor: 4.226