Robotic Surgery for Stone Disease

Hasan, Osamah; Reed, Alexandra; Shahait, Mohammed; Crivellaro, Simone; Dobbs, Ryan W.

doi:10.1007/s11934-022-01131-8

Cited by 5 publications

(4 citation statements)

References 43 publications

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“…Laparoscopic surgery has been currently reported as an effective treatment for CFRE with stones, but advanced laparoscopic techniques are required to safely handle abnormal anatomy 18 . Compared to laparoscopic surgery, robotic surgery has advantages such as superior visualisation and manoeuverability, which may be more beneficial for coping with aberrant renal vessels and defining the anatomy of the crossed kidney 5,6 . Accordingly, robotic surgery was considered to completely clear left renal stones.…”

Section: Discussionmentioning

confidence: 99%

“…18 Compared to laparoscopic surgery, robotic surgery has advantages such as superior visualisation and manoeuverability, which may be more beneficial for coping with aberrant renal vessels and defining the anatomy of the crossed kidney. 5,6 Accordingly, robotic surgery was considered to completely clear left renal stones. In addition, FURSL is satisfactory for the treatment of small stones with normal ureters.…”

Section: In 1957 Mcdonald Andmentioning

confidence: 99%

“…Laparoscopic surgery was one option that some considered 4 . Robotic surgery, however, might be a preferred option due to its superior visualisation and manoeuverability 5,6 . In this article, we present a previously unreported case of bilateral renal stones in crossed fused renal ectopia (CFRE) that was successfully treated using robotic pyelolithotomy combined with flexible ureteroscopic lithotripsy (FURSL).…”

Section: Introductionmentioning

confidence: 99%

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Case report: Crossed fused renal ectopia with stones: A surgical challenge overcome by robotic surgery

Chai

2023

Robotics Computer Surgery

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BackgroundCrossed fused renal ectopia (CFRE) is an extremely rare congenital anomaly of the urinary tract that is prone to stone formation. The surgical treatment of CFRE with stones is challenging due to anatomical abnormalities.Materials and MethodsRight kidney stones were treated by flexible ureteroscopic lithotripsy (FURSL) and left kidney stones were treated by robotic surgery.ResultsThe authors present an unreported case of bilateral renal stones in a patient with CFRE, which was successfully treated by robotic pyelolithotomy combined with FURSL. The procedure was manoeuverable, and the stone‐free rate was satisfactory.ConclusionsCFRE with stones (S‐shaped kidney) present a surgical challenge due to anatomical abnormalities and a high stone burden. The authors recommend robotic pyelolithotomy with or without FURSL as a viable treatment option for stones with similar anatomical abnormalities.

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Section: Discussionmentioning

confidence: 99%

Section: In 1957 Mcdonald Andmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Case report: Crossed fused renal ectopia with stones: A surgical challenge overcome by robotic surgery

Chai

2023

Robotics Computer Surgery

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“…Other potential complications include renal parenchymal injury (15.4%), perioperative bleeding (6.3%), delayed bleeding (0.9%), and renal collecting duct injury (5.2%) [ 10 ]. Therefore, for kidney stones larger than 2 cm, alternative, minimally invasive procedures have recently been proposed, including RIRS and robot-assisted laparoscopic pyelolithotomy (RAPL); these procedures do not cause direct injury to the parenchyma of the kidneys, unlike PCNL [ 11 , 12 ]. RIRS is an effective treatment for renal stones larger than 2 cm.…”

Section: Introductionmentioning

confidence: 99%

Comparative Analysis of Surgical Outcomes of Flexible Ureteroscopy and Da Vinci Robotic Surgery in Community Patients with Renal Pelvic Stones Larger than 2 cm

Yeh,

Weng,

Lin

et al. 2023

Medicina

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Background and Objectives: This study evaluated and compared the surgical outcomes of retrograde intrarenal surgery (RIRS) lithotripsy versus robot-assisted laparoscopic pyelolithotomy (RAPL) in community patients with renal pelvic stones larger than 2 cm. Materials and Methods: A total of 77 patients who underwent RIRS (RIRS group, n = 50) or RAPL (RAPL group, n = 27) at our institution between December 2016 and July 2022 were recruited. A single surgeon performed all surgical operations. Preoperative, operative, and postoperative data were recorded. The study evaluated various clinical outcomes, namely, urinary tract infections, analgesic use, emergency room readmissions, stone clearance rates, surgical complications, and medical expenditures associated with the treatment courses, and compared them between the groups. Results: The RAPL group had a larger mean stone diameter and higher degree of hydronephrosis than the RIRS group did. The RIRS group had superior outcomes regarding operative time, length of postoperative hospital stay, surgical wound pain, and medical expenditures. Regarding postoperative outcomes, comparable rates of postoperative urinary tract infection, prolonged analgesic use, and emergency room readmissions were observed between the groups. However, the RAPL group had a higher stone clearance rate than the RIRS group did (81.5% vs. 52.0%, p = 0.014). Conclusions: For the surgical treatment of renal pelvis stones larger than 2 cm, RAPL has a superior stone clearance rate than RIRS; however, RIRS achieves superior outcomes in terms of medical expenditures, length of hospital stay, and surgical wound pain. Both procedures were equally safe.

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Technical Aspects and Clinical Outcomes of Robotic Ureteroscopy: Is It Ready for Primetime?

et al. 2023

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Purpose of Review Robotic surgery in urology has already been widely employed in robotic-assisted laparoscopic surgery for minimally invasive procedures (MIS). We wanted to analyse rapidly developing robotic ureteroscopy (RoboURS) for the treatment of renal stone disease. Recent Findings A comprehensive literature review was performed for technical aspects and clinical outcomes of RoboURS. RoboURS has made significant breakthroughs with each model proving that this technology improves ergonomics and supports surgeon and instrument longevity while minimising musculoskeletal issues in retrograde intra-renal surgery (RIRS). Further randomised controlled trials are required to compare the efficacy of RoboURS vs manual flexible ureteroscopy (FURS). The cost-effectiveness will also need to be assessed prior to widespread acceptance into urological infrastructure and mainstream practice. Summary RoboURS continues to evolve despite the limitations of infrastructure and cost-effectiveness. It holds the promise of a better future for surgeon longevity, reduced peri-operative morbidity and better workplace environment.

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Robotic Surgery for Stone Disease

Cited by 5 publications

References 43 publications

Case report: Crossed fused renal ectopia with stones: A surgical challenge overcome by robotic surgery

Case report: Crossed fused renal ectopia with stones: A surgical challenge overcome by robotic surgery

Comparative Analysis of Surgical Outcomes of Flexible Ureteroscopy and Da Vinci Robotic Surgery in Community Patients with Renal Pelvic Stones Larger than 2 cm

Technical Aspects and Clinical Outcomes of Robotic Ureteroscopy: Is It Ready for Primetime?

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