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Robot-assisted pyeloplasty: review of the current literature technique and outcome
Division of Urology, Department of Surgery, University College of Medical Sciences (University of Delhi) and GTBH, New Delhi, India
Apr 2010 (Vol. 17, Issue 2, Pages( 5099 - 5108)
PMID: 20398449

Abstract

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  • 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.

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