Robotic Dismembered Pyeloplasty: A 6-Year, Multi-Institutional Experience

Abstract

To our knowledge this review represents the largest multi-institutional experience of robotic dismembered pyeloplasty with long-term followup. Robotic pyeloplasty appears to be safe, durable and efficacious for primary and secondary ureteropelvic junction obstruction with or without concomitant stone extraction, and for patients with a solitary kidney.

Outcome analysis of robotic pyeloplasty: a large single‐centre experience

“…Data favouring the robotic technique is now available from several other groups, confirming it to be safe, durable and effective [9,18]. It has also proved successful for secondary PUJO and concomitant stone extraction [18,19], and has been shown to be a superior minimally invasive option for managing PUJO [15]. Ours is a large single-centre experience of prospectively included consecutive cases from a tertiary-care centre.…”

“…Schwentner et al [8] reported a largest single-centre experience of 92 patients with a follow-up of 39 months with 96.7% success rate with 80 primary repairs and 12 secondary repairs. Data favouring the robotic technique is now available from several other groups, confirming it to be safe, durable and effective [9,18]. It has also proved successful for secondary PUJO and concomitant stone extraction [18,19], and has been shown to be a superior minimally invasive option for managing PUJO [15].…”

Laparoscopic pyeloplasty: the standard of care for ureteropelvic junction obstruction

“…25 The steep learning curve for laparoscopic pyeloplasty may be smoothed by the adoption of robotic-assisted pyeloplasty, which appears to be as effective as open and laparoscopic approaches. [33][34][35][36] Other exciting developments, such as single-port pyeloplasty, are on the horizon. 37 In the meantime, laparoscopic pyeloplasty will remain the far superior treatment option for virtually all patients undergoing treatment of ureteropelvic junction obstruction.…”

Transperitoneal Robot-Assisted Laparoscopic Pyeloplasty

“…3,7,[20][21][22][23][24] Splenic and hepatic lacerations can occur when robotic instruments are exchanged Postoperatively, the patient is carefully monitored for urine leakage, which may occur in less than 2% of cases. [20][21][22][23] Perioperative complications have occurred in 3% to 11% of cases. [20][21][22][23] If a urine leak occurs shortly after the procedure (within 1-2 h), abdominal radiography can confirm the position of the ureteral stent.…”

“…[20][21][22][23] Perioperative complications have occurred in 3% to 11% of cases. [20][21][22][23] If a urine leak occurs shortly after the procedure (within 1-2 h), abdominal radiography can confirm the position of the ureteral stent. Distal migration of the stent up the ureter may necessitate ureteroscopy and basket retrieval of the distal end.…”