Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach

Al-Yousef, Rawan; Almarzouq, Ahmad; Aldousari, Saad

doi:10.1590/s1677-5538.ibju.2016.0059

Cited by 4 publications

(4 citation statements)

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“…A total of 249 RASs were performed in Kuwait until June 2018, with 204 cases performed at the SAUC, and 45 performed at the Chest Disease Hospital. Different types of urological RAS were performed between February 2014 and June 2016 including: RARP, robot-assisted radical nephrectomy (RARN), RAPN, robot-assisted pyeloplasty (RAP), robot-assisted adrenalectomy (RAA), and pyelolithotomies that failed ureteroscopic management [16][17][18][19] (Figure 3). All procedures were performed transperitoneally, and no case required open conversion or received a blood transfusion, with a median hospital stay of 3 days and no major complications ( Figure 3).…”

Section: Resultsmentioning

confidence: 99%

Robot-assisted urological surgery in the Middle East: Where are we and how far can we go?

Azhar

Elkoushy

Aldousari

2019

Arab Journal of Urology

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Objectives: To evaluate robot-assisted surgery (RAS) in Urology in the Middle East, and its status and future perspectives. Methods: A Medical Literature Analysis and Retrieval System Online (MEDLINE) search was performed using the following keywords: 'robotics', 'robot-assisted surgery', 'laparoscopy', at first with each specific procedure name, such as radical cystectomy, followed by 'Middle East' and country names. All abstracts and articles in English that adhered to the scope of the current issue were selected, giving special consideration to relevant landmark articles and those describing trends and the future of RAS in Urology. Results: Only a few index case reports characterised RAS in the Middle East. The Middle East possess only 1% of the da Vinci® Surgical Systems (Intuitive Surgical Inc., Sunnyvale, CA, USA) installed worldwide, including 19 in Saudi Arabia; six in Qatar; two in each of Kuwait and Lebanon; three in the United Arab Emirates; and only one in Egypt. The total number of RAS performed in the Middle East is low compared to Europe and the USA. Many countries in the Middle East still lack surgical robots despite having the expertise and appropriate caseload, whilst others seem not to utilise the surgical robot at a suitable rate, as reflected by the sparse number of operated cases and outgoing publications. There are major differences in RAS availability, usage, and perception according to the geographical place of practice and acceptance of robots by surgeons and patients. Conclusion: RAS in Urology continues to grow in the Middle East, with increasing caseloads and diversity of operated cases. Acceptance of robots by Middle East surgeons is significantly increasing.

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Section: Resultsmentioning

confidence: 99%

Robot-assisted urological surgery in the Middle East: Where are we and how far can we go?

Azhar

Elkoushy

Aldousari

2019

Arab Journal of Urology

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“…One article mentioned the use of the fingers of a sterile glove as retrieval bags (21). Interestingly, the use of a flexible cystoscope has also been described to ease intraperitoneal stone removal after pyelolithotomy is closed (22).…”

Section: Discussionmentioning

confidence: 99%

“…In the pediatric population, this would be comparable to positioning and port placement for bilateral vesicoureteral reimplantations. A transmesenteric approach was utilized for endopyelotomy and subsequent pyelolithotomy thus avoiding mobilization of the colon and its increased operative time and potential risk for injury (22, 25).…”

Section: Discussionmentioning

confidence: 99%

Robotic Management of Urolithiasis in the Pediatric Population

et al. 2019

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A variety of surgical techniques exist for the management of urolithiasis. Minimally invasive techniques have replaced open surgery in the last few decades. For complex stone management, robotic-assisted laparoscopic surgery (RALS) has emerged as a safe and feasible alternative in adults. The literature for RALS for urolithiasis (RALS-UL) in the pediatric population is scarce. Herein, we present a review of the literature in both adult and pediatric patients as well as our experience using RALS-UL at our institutions. Special attention is given to the synchronous management of urolithiasis when surgery is performed for other conditions such as ureteropelvic junction obstruction (UPJO), and a supplemental video is provided.

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confidence: 99%

Laparoscopic Pyelolithotomy for treating urolithiasis in ectopic pelvic kidneys

Kartalas-Goumas¹,

Tondelli²,

Bevilacqua³

et al. 2023

Int. braz j urol.

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Introduction: The management of urolithiasis ectopic pelvic kidneys (EPK) can be challenging because of the aberrant anatomy ( 1 – 4 ). We demonstrate the step-by-step technique of the laparoscopic approach for treating urolithiasis in EPK. Patients and methods: Three men with EPK (2 left, 1 right) underwent laparoscopic pyelolithotomy through a transperitoneal approach. After establishing the pneumoperitoneum, the parietal peritoneum was opened at the parietal colic sulcus and the bowel displaced medially. The kidney was identified in the retroperitoneum and the renal pelvis exposed after removal of the perirenal adipose tissue. The renal pelvis was opened, and the stones were identified and retrieved with forceps in 2 cases and with a flexible nephroscope in 1 case. The renal pelvis was closed with a 3/0 running barbed suture. A DJ stent was placed in all patients. Results: For the first time, a laparoscopic technique for treating stones in the ectopic kidney is demonstrated in detail. Mean patient age was 52.6 years (44-58). The mean stone size was 22.3 mm (20-24 mm). Stones were in the renal pelvis in 2 cases and in the inferior calyx in 1 case. Mean operative time was 146 minutes (135-155 min). Mean estimated blood loss was 116 ml (60-140 ml). No complications were observed. The mean hospital stay was 3 days. The DJ stents were removed after 3 weeks. All patients were stone free at the postoperative CT scan with a mean follow-up of 3.3 months (1-6 months). Conclusions: Laparoscopic pyelolithotomy can be an effective and reproducible minimally invasive technique for treating urolithiasis in EPK.

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Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach

Cited by 4 publications

References 0 publications

Robot-assisted urological surgery in the Middle East: Where are we and how far can we go?

Robot-assisted urological surgery in the Middle East: Where are we and how far can we go?

Robotic Management of Urolithiasis in the Pediatric Population

Laparoscopic Pyelolithotomy for treating urolithiasis in ectopic pelvic kidneys

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