Robotic Reconstruction of the Upper Urinary Tract

No AccessJournal of UrologyAdult urology1 Nov 2007Robotic Reconstruction of the Upper Urinary Tract Patrick W. Mufarrij, Ojas D. Shah, Aaron D. Berger, and Michael D. Stifelman Patrick W. MufarrijPatrick W. Mufarrij More articles by this author , Ojas D. ShahOjas D. Shah More articles by this author , Aaron D. BergerAaron D. Berger More articles by this author , and Michael D. StifelmanMichael D. Stifelman More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2007.07.018AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Reconstructive surgery of the upper urinary tract can be complicated. During the last 2 decades minimally invasive techniques have emerged as viable options for these complex procedures. We reviewed our experience with robotic surgery for upper urinary tract reconstruction. Materials and Methods: Between May 2002 and December 2006, a single surgeon performed certain robotic reconstructions on the upper urinary tract in 26 males and 37 females (65 renal units), including dismembered pyeloplasty, dismembered pyeloplasty with stone extraction, ureteroureterostomy, ureterolysis with omental wrap, ureterocalicostomy, ureteral reimplantation and upper pole nephroureterectomy. We compared demographic, preoperative, intraoperative and postoperative data on patients undergoing these various procedures. Results: Across all cases mean blood loss was 125 cc, mean operative time was 244.8 minutes and mean length of stay was 2.8 days. The rate of radiographic and symptomatic improvement was 97.3% and 100%, respectively. We observed 2 major complications during a mean followup of 18.7 months. Conclusions: Our data illustrate that robotics can be successfully and safely used for virtually any type of upper urinary tract reconstruction. Robotic techniques are a viable option for upper urinary tract reconstruction. References 1 : Robotics in urologic surgery: an evolving new technology. Int J Urol2006; 13: 857. Google Scholar 2 : A standardized technique for robotically performed sigmoid colectomy. J Laparoendosc Adv Surg Tech A2006; 16: 551. Google Scholar 3 : Manual and robotic laparoscopic liver resection: Two case-reviews. Rozhl Chir2006; 85: 511. Google Scholar 4 : Robotic assistance provides excellent outcomes during the learning curve for laparoscopic Roux-en-Y gastric bypass: results from 100 robotic-assisted gastric bypasses. Am J Surg2006; 192: 746. Google Scholar 5 : Robotic cardiovascular surgery. Expert Rev Med Devices2006; 3: 335. Google Scholar 6 : Transfer of training in robotic-assisted microvascular surgery. Ann Plast Surg2006; 57: 662. Google Scholar 7 : Robotic ureterolysis, retroperitoneal biopsy, and omental wrap for the treatment of ureteral obstruction due to idiopathic retroperitoneal fibrosis. Rev Urol2006; 8: 226. Google Scholar 8 : Robot assisted laparoscopic partial nephrectomy: initial experience. J Urol2006; 176: 36. Link, Google Scholar 9 : Robot-assisted laparoscopic dismembered pyeloplasty. JSLS2005; 9: 252. Google Scholar 10 : Hand-assisted laparoscopic nephroureterectomy with cystoscopic en bloc excision of the distal ureter and bladder cuff. J Endourol2002; 16: 329. Google Scholar 11 : Ureteroureterostomy and transureteroureterostomy. In: Atlas of Urologic Surgery. New York: Elsevie1998: 834. Google Scholar 12 : Vattikuti Institute prostatectomy: contemporary technique and analysis of results. Eur Urol2007; 51: 27. Google Scholar 13 : Laparoscopic radical prostatectomy: the Montsouris technique. J Urol2000; 163: 418. Link, Google Scholar 14 : Ureteroneocystostomy. In: Atlas of Urologic Surgery. New York: Elsevie1998: 800. Google Scholar 15 : State of the art in surgical robotics: clinical applications and technology challenges. Comp Aided Surg2001; 6: 312. Google Scholar 16 : Laparoscopic pyeloplasty: comparison of procedures performed with the daVinci robotic system versus standard techniques. Eur Urol2002; 42: 453. Google Scholar Department of Urology, New York University Medical Center, New York, New York© 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byPenna F, Lorenzo A, Farhat W, Butt H and Koyle M (2016) Ureteroureterostomy: An Alternative to Ureteroneocystostomy in Select Cases of Pediatric Renal TransplantationJournal of Urology, VOL. 197, NO. 3 Part 2, (920-924), Online publication date: 1-Mar-2017. Volume 178Issue 5November 2007Page: 2002-2005 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordsreconstructive surgical proceduresroboticssurgical proceduresurinary tractminimally invasiveMetricsAuthor Information Patrick W. Mufarrij More articles by this author Ojas D. Shah More articles by this author Aaron D. Berger More articles by this author Michael D. Stifelman More articles by this author Expand All Advertisement PDF downloadLoading ...