Iqbal Singh1, Ashok K Hemal. 1. Division of Urology, Department of Surgery, University College of Medical Sciences (University of Delhi) and GTBH, New Delhi, India.
Abstract
AIM: To review the global select data on the current technique, perioperative outcome and literature on the robot-assisted pyeloplasty (RAP). METHODS: The published English literature (PubMed) was extensively searched using the key words; robot, robot-assisted pyeloplasty, laparoscopy, laparoscopic pyeloplasty and ureteropelvic junction obstruction. The selected studies were then reviewed, tracked and analyzed in order to determine the current role, outcome and status of robot-assisted laparoscopic pyeloplasty. RESULTS: The search yielded about 25 published series on RAP comprising about 740 cases with a mean operative time, estimated blood loss, crossing vessel prevalence, hospital stay,perioperative complication rate and follow up duration of 194 min, 50 mL, 47%, 2.3 days, 6% and 14.9 months respectively. CONCLUSION: The initial peri-operative results and intermediate follow up of cases of repair of the ureteropelvic junction obstruction with robot-assisted pyeloplasty appear to be favorable and comparable to that of open pyeloplasty, while long term outcome data is still awaited. The da Vinci surgical robotic system is a promising surgical armamentarium in the hands of the modern day urologist for the minimally invasive definitive surgical management of both primary and secondary ureteropelvic junction obstruction.
AIM: To review the global select data on the current technique, perioperative outcome and literature on the robot-assisted pyeloplasty (RAP). METHODS: The published English literature (PubMed) was extensively searched using the key words; robot, robot-assisted pyeloplasty, laparoscopy, laparoscopic pyeloplasty and ureteropelvic junction obstruction. The selected studies were then reviewed, tracked and analyzed in order to determine the current role, outcome and status of robot-assisted laparoscopic pyeloplasty. RESULTS: The search yielded about 25 published series on RAP comprising about 740 cases with a mean operative time, estimated blood loss, crossing vessel prevalence, hospital stay,perioperative complication rate and follow up duration of 194 min, 50 mL, 47%, 2.3 days, 6% and 14.9 months respectively. CONCLUSION: The initial peri-operative results and intermediate follow up of cases of repair of the ureteropelvic junction obstruction with robot-assisted pyeloplasty appear to be favorable and comparable to that of open pyeloplasty, while long term outcome data is still awaited. The da Vinci surgical robotic system is a promising surgical armamentarium in the hands of the modern day urologist for the minimally invasive definitive surgical management of both primary and secondary ureteropelvic junction obstruction.
Authors: M Traumann; L A Kluth; M Schmid; C Meyer; B Schwaiger; C Rosenbaum; P Schriefer; M Fisch; R Dahlem; D Seiler; S Ahyai; A Haese; F K-H Chun Journal: Urologe A Date: 2015-05 Impact factor: 0.639
Authors: Bruce L Jacobs; Julie C Lai; Rachana Seelam; Janet M Hanley; J Stuart Wolf; Brent K Hollenbeck; John M Hollingsworth; Andrew W Dick; Claude M Setodji; Christopher S Saigal Journal: Urology Date: 2017-09-21 Impact factor: 2.649
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