Robot-assisted ureteral reconstruction – current status and future directions

Babbar, Paurush; Yerram, Nitin; Sun, Andrew; Hemal, Sij; Murthy, P. Balakrishna; Bryk, Darren J.; Nandanan, Naveen; Nyame, Yaw A.; Caveney, Maxx; Nelson, Ryan J.; Berglund, Ryan K.

doi:10.4103/ua.ua_94_17

Cited by 16 publications

(7 citation statements)

References 53 publications

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“…Multiple studies 16–18 have demonstrated comparable outcomes with a reduction in operating time for the robotic approach compared to open pyeloplasty surgery, the relative ease of suturing being the key advantage 1 . Data on RAS ureteric reimplant surgery demonstrates similar complication rates, re‐stricture rates and operative times but with decreased blood loss and length of stay 19,20 . Compared to conventional open surgery, RAS surgery generally results in reduced wound related morbidity 21 .…”

Section: Application Of Ras In Reconstructive Urologymentioning

confidence: 99%

What credentials are required for robotic‐assisted surgery in reconstructive and functional urology?

Harley

Fong²,

Yao

et al. 2023

BJUI Compass

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IntroductionThe increasing popularity of robotic assisted surgery (RAS) as it is implemented in to sub specialities poses many challenges to ensuring standards in quality and safety. The area of Reconstructive and Functional Urology (RFU) has a wide range and largely complex heterogeneous procedures. In recent years RFU has started to incorporate RAS as the primary method to undertake these procedures due to improved vision, dexterity, and access to deep cavities. To ensure patient safety majority of institutions maintain minimal requirements to operate using RAS however across specialities and institutions these greatly vary.MethodsA narrative review of all the relevant papers known to the author was conducted.ResultsSpecific challenges facing RFU is the inability to rely on case numbers as a surrogate means to measure competency as well the ongoing consideration of how to differentiate between surgeons with robotic training and those with the clinical experience specific to RFU.ConclusionThis review explores current models of training and credentialling and assess how it can be adapted to suggest a standardised guideline for RFU to ensure the highest standards of patient care.

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Section: Application Of Ras In Reconstructive Urologymentioning

confidence: 99%

What credentials are required for robotic‐assisted surgery in reconstructive and functional urology?

Harley

Fong²,

Yao

et al. 2023

BJUI Compass

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“…Лікування пацієнтів з мультифокальним нирково-клітинним раком є одним з найбільш складних завдань, оскільки стратегія лікування таких хворих досі остаточно не вирішена, а вибір метода лікування мультифокального раку є джерелом наукових дебатів. При цьому мультифокальність залишається одним із відносних протипоказань до ОЗХ [2].…”

Section: вступunclassified

“…Пластика мочеточника тубуляризованным лоханочным лоскутом является относительно редкой опцией уретеральной реконструкции [1,2]. Данный хирургический подход позволяет заместить протяженные дефекты верхней трети мочеточника, а в отдельных случаях и весь мочеточник [3,4].…”

Section: Introductionunclassified

Assessment of prognostic factors for reconstruction of the upper third of the ureter with a tubularized pelvis flap

Demchenko¹,

Shchukin²,

Хареба³

et al. 2020

ScienceRise: Medical Science

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“…This has been overshadowed by the introduction of Robotic assisted surgeries in recent time with added advantages of making the procedure simple and decreased peri-operative morbidity. The robotic platform has the bene t of better threedimensional visualization, tremor reduction, more precision and ner control, less blood loss, and shorter hospital stay 1 .…”

Section: Introductionmentioning

confidence: 99%

Robot Assisted Ureteric Reconstruction Surgery Using Hugotm Ras Robotic Platform – a Single Centre Experience

Tyagi,

Pisre,

Tyagi

et al. 2024

Preprint

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Introduction Robotic surgery is now the mainstay option for many urological and gynaecological procedures. Different Robotic surgical platforms have been devised but the widespread use of these platforms have been slowed down by its huge cost, maintenance and exclusivity. This led to increased competition and commercialization of robotic platform and development of new novel platforms to overcome these hurdles. This is the first series of Robot –assisted ureteric reconstruction surgeries using the new Open console Hugo RAS Robotic system. Material and methods All patients presenting to hospital with ureteric abnormality between April 2023 to September 2023 (n=20) were included in the study. Out of 20 patients, 14 patients had pyeloplasty, 4 underwent ureteric re-implantation and 2 uretero-ureterostomy respectively. The primary outcome was to access the surgical settings (docking angles/docking time, trocar positioning, cart positioning) and feasibility of this novel robotic platform. Results The mean console time and docking time was 108.8 minutes (85-176) and 6 minutes (4 to 20) respectively. No major post-operative complication was recorded and the average hospital stay was 3 days. Conclusion This is the first series to show the feasibility of Hugo RAS in the setting of Robot assisted ureteric reconstruction surgeries. Open console system, new advanced patient safety features, flexible independent arms makes it an attractive option for many new budding surgeons and new specialities. These are preliminary results with limited sample size, however, further studies needed to confirm its long term safety and efficacy.

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Robot-assisted ureteral reconstruction – current status and future directions

Cited by 16 publications

References 53 publications

What credentials are required for robotic‐assisted surgery in reconstructive and functional urology?

What credentials are required for robotic‐assisted surgery in reconstructive and functional urology?

Assessment of prognostic factors for reconstruction of the upper third of the ureter with a tubularized pelvis flap

Robot Assisted Ureteric Reconstruction Surgery Using Hugotm Ras Robotic Platform – a Single Centre Experience

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