Laparoscopic Anderson-Hynes dismembered pyeloplasty using the da Vinci™ robot:: Technical considerations

被引：22

作者：

Yohannes, P ^{[1
]}

Burjonrappa, SC ^{[1
]}

机构：

[1] Creighton Univ, Dept Urol Surg, Div Urol, Omaha, NE 68131 USA

来源：

JOURNAL OF ENDOUROLOGY | 2003年 / 17卷 / 02期

关键词：

D O I：

10.1089/08927790360587388

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose: To present our initial experience with laparoscopic pyeloplasty utilizing the da Vinci(TM) robot for upper tract reconstruction. Case Report: A four-port transperitoneal approach was used in a 73-year-old man. The ureteropelvic (UPJ) obstruction was identified with a crossing vessel. After dismemberment of the UPJ, the renal pelvis was trimmed and reconstructed using the da Vinci robot. The total operative time was 5 hours; the time spent for reconstruction was 45 minutes. Blood loss was <150 mL. The postoperative analgesic requirement was 8 mg of morphine and 25 mg of hydrocodone. There were no intraoperative or postoperative complications. Conclusion: The da Vinci robot can serve as a vital surgical tool during pyeloplasty with extensive reconstruction.

引用

页码：79 / 83

页数：5

共 10 条

[1] Laparoscopic versus open pyeloplasty: Assessment of objective and subjective outcome [J].

Bauer, JJ ;

Bishoff, JT ;

Moore, RG ;

Chen, RN ;

Iverson, AJ ;

Kavoussi, LR .

JOURNAL OF UROLOGY, 1999, 162 (03) :692-695

[2] Robotically-assisted laparoscopic radical prostatectomy [J].

Binder, J ;

Kramer, W .

BJU INTERNATIONAL, 2001, 87 (04) :408-410

[3] Laparoscopic pyeloplasty: The first 100 cases [J].

Jarrett, TW ;

Chan, DY ;

Charambura, TC ;

Fugita, O ;

Kavoussi, LR .

JOURNAL OF UROLOGY, 2002, 167 (03) :1253-1256

[4] LAPAROSCOPIC PYELOPLASTY [J].

KAVOUSSI, LR ;

PETERS, CA .

JOURNAL OF UROLOGY, 1993, 150 (06) :1891-1894

[5]

PARTIN AW, 1995, J AM COLL SURGEONS, V181, P552

[6] LAPAROSCOPIC DISMEMBERED PYELOPLASTY [J].

SCHUESSLER, WW ;

GRUNE, MT ;

TECUANHUEY, LV ;

PREMINGER, GM .

JOURNAL OF UROLOGY, 1993, 150 (06) :1795-1799

[7] Retroperitoneal laparoscopic versus open pyeloplasty with a minimal incision:: Comparison of two surgical approaches [J].

Soulié, M ;

Thoulouzan, M ;

Seguin, P ;

Mouly, P ;

Vazzoler, N ;

Pontonnier, F ;

Plante, P .

UROLOGY, 2001, 57 (03) :443-447

[8] Robotic laparoscopic surgery:: A comparison of the da Vinci and Zeus Systems [J].

Sung, GT ;

Gill, IS .

UROLOGY, 2001, 58 (06) :893-898

[9] Retroperitoneoscopic dismembered pyeloplasty for pelvi-ureteric junction obstruction in infants and children [J].

Yeung, CK ;

Tam, YH ;

Sihoe, JDY ;

Lee, KH ;

Liu, KW .

BJU INTERNATIONAL, 2001, 87 (06) :509-513

[10] Comparison of robotic versus laparoscopic skills: Is there a difference in the learning curve? [J].

Yohannes, P ;

Rotariu, P ;

Pinto, P ;

Smith, AD ;

Lee, BR .

UROLOGY, 2002, 60 (01) :39-45

← 1 →