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Robotic pyeloplasty

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https://www.readbyqxmd.com/read/28429925/robot-assisted-laparoendoscopic-single-site-versus-mini-laparoscopic-pyeloplasty-a-comparison-of-perioperative-functional-and-cosmetic-results
#1
Cristian Fiori, Riccardo Bertolo, Matteo Manfredi, Fabrizio Mele, Daniele Amparore, Giovanni Cattaneo, Ivano Morra, Roberto M Scarpa, Francesco Porpiglia
BACKGROUND: New approaches have been developed to further reduce the invasiveness of laparoscopic pyeloplasty (P) as treatment for uretero-pelvic junction obstruction (UPJO). Aim of the study was to compare perioperative, functional and cosmetic results of mini-laparoscopic (mL-P) versus robot-assisted laparoendoscopic single-site P (rLESS-P). METHODS: Since April 2009 to June 2010, 12 adult patients with primary UPJO, BMI<25 and no previous abdominal surgeries were enrolled undergoing mLP (3-mm instruments only)...
April 20, 2017: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/28426695/a-comparative-study-of-pediatric-open-pyeloplasty-laparoscopy-assisted-extracorporeal-pyeloplasty-and-robot-assisted-laparoscopic-pyeloplasty
#2
Sang Hoon Song, Chanwoo Lee, Jaeyoon Jung, Sung Jin Kim, Sungchan Park, Hyungkeun Park, Kun Suk Kim
PURPOSE: To compare the outcomes of open pyeloplasty (OP), laparoscopy-assisted extracorporeal (LEXP), and robotic-assisted laparoscopic pyeloplasty (RALP) for ureteropelvic junction obstruction in pediatric patients. METHODS: We retrospectively reviewed the age-matched cohort of 30 children who underwent OP, 30 who underwent LEXP, and 10 who underwent RALP at a single institution, from 1996 to 2014. Pre- and post-operative variables including success rate were compared among surgical groups...
2017: PloS One
https://www.readbyqxmd.com/read/28398104/robotic-surgery-start-up-with-a-fellow-as-the-console-surgeon
#3
Susanne Reinhardt, Inge Boetker Ifaoui, Jorgen Thorup
OBJECTIVE: Owing to the encouraging data on fellowship training in robotic pyeloplasty and the documented benefits of robotic pyeloplasty, the aim of this study was to test the feasibility of starting up pediatric urological robotic surgery in a center with a limited case volume. MATERIALS AND METHODS: The operative parameters and clinical outcome of the first 25 robotic pyeloplasties performed were compared to data on open and laparoscopic procedures from the previous 5 year period...
April 11, 2017: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/28398101/robot-assisted-pyeloplasty-and-pyelolithotomy-in-patients-with-ureteropelvic-junction-stenosis
#4
Pernille Hammershøj Jensen, Kasper Drimer Berg, Nessn H Azawi
OBJECTIVE: Approximately one in five patients with ureteropelvic junction stenosis (UPJS) also present with renal or ureteral stones. For patients with UPJS, the European Association of Urology guidelines currently recommend that robot-assisted pyeloplasty (RAP) and pyelolithotomy are performed as two separate procedures. The aim of the present study was to evaluate the feasibility and safety of RAP with concomitant pyelolithotomy (RAP + P) in patients diagnosed with UPJS and renal stones...
April 11, 2017: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/28365863/robot-assisted-laparoscopic-pyeloplasty-in-the-pediatric-population-a-review-of-technique-outcomes-complications-and-special-considerations-in-infants
#5
REVIEW
William R Boysen, Mohan S Gundeti
Ureteropelvic junction obstruction is a common condition encountered by the pediatric urologist, and treated with pyeloplasty when indicated. Recent technological advancements and a shift across all surgical fields to embrace minimally invasive surgery have led to increased utilization of minimally invasive pyeloplasty. Conventional laparoscopy is a reasonable choice, but its use is limited by the technical challenges of precise suturing in a confined space and the associated considerable learning curve. Robotic technology has simplified the minimally invasive approach to pyeloplasty, offering enhanced visualization and improved dexterity with a fairly short learning curve...
April 1, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28293866/hidden-incision-endoscopic-surgery-hides-trocar-placement-for-pediatric-robotic-pyeloplasty-comparison-to-traditional-port-placement
#6
Yaejee H Hong, W Robert DeFoor, Pramod P Reddy, Marion Schulte, Eugene A Minevich, Brian A VanderBrink, Paul H Noh
Robotic assisted laparoscopy pyeloplasty (RALP) has been associated with shorter recovery, less pain and improved cosmesis. To minimize visible scars, the hidden incision endoscopic surgery (HIdES) trocar placement has been previously developed. Our aim was to compare outcomes between the HIdES and traditional port placement (TPP) for pediatric RALP. A retrospective study was performed on patients under 15 years of age who underwent RALP at a single institution between August 2011 and November 2013. Patient demographics, intraoperative details, narcotic administration, and complications were reviewed...
March 14, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28289002/unusual-cause-of-renal-stone-following-robotic-pyeloplasty
#7
Siddharth Yadav, Prabhjot Singh, Brusabhanu Nayak, Prem Nath Dogra
Non-absorbable Hem-o-Lok clips are commonly used for vascular pedicle control or suture stabilisation during laparoscopic or robotic reconstructive procedures. As they are placed close to suture line and with tension, these clips have a propensity to migrate. We report a case of a 22-year-old man with history of bilateral robotic pyeloplasty presenting with left inferior calyceal stone. He underwent left mini percutaneous nephrolithotomy which revealed an encrusted migrated Hem-o-Lok clip that was used to close the mesenteric window formed during transmesocolic pyeloplasty...
March 13, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28288777/outcomes-after-pediatric-open-laparoscopic-and-robotic-pyeloplasty-at-academic-institutions
#8
Yvonne Y Chan, Blythe Durbin-Johnson, Renea M Sturm, Eric A Kurzrock
INTRODUCTION: Patient age and hospital volume have been shown to affect perioperative outcomes after pediatric pyeloplasty. However, there are few multicenter studies that focus on outcomes at teaching hospitals, where many of the operations are performed. OBJECTIVE: The goal was to determine if surgical approach, age, case volume, or other factors influence perioperative outcomes in a large contemporary cohort. STUDY DESIGN: Using the clinical database/resource manager (CDB/RM) of the University Health-System Consortium (UHC), children who underwent open, laparoscopic, or robotic pyeloplasty from 2011 to 2014 were identified at 102 academic institutions...
February 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28284732/reduction-in-surgical-fog-with-a-warm-humidified-gas-management-protocol-significantly-shortens-procedure-time-in-pediatric-robot-assisted-laparoscopic-procedures
#9
B Meenakshi-Sundaram, J R Furr, E Malm-Buatsi, B Boklage, E Nguyen, D Frimberger, B W Palmer
INTRODUCTION: The adoption of robot-assisted laparoscopic (RAL) procedures in the field of urology has occurred rapidly, but is, to date, without pediatric-specific instrumentation. Surgical fog is a significant barrier to safe and efficient laparoscopy. This appears to be a significant challenge when adapting three-dimensional 8.5-mm scopes to use in pediatric RAL surgery. The objective of the present study was to compare matched controls from a prospectively collected database to procedures that were performed utilizing special equipment and a protocol to minimize surgical fog in pediatric RAL procedures...
February 24, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28235512/transient-global-amnesia-in-immediate-postoperative-period-a-diagnostic-dilemma
#10
Anudeep Jafra, Tanvir Samra, Vasudha Gupta, M Seran Kumar Reddy
INTRODUCTION: Transient Global Amnesia (TGA) is short-term inability to form new memories despite otherwise normal neurological function. There is associated anterograde and retrograde amnesia. The memory loss is often accompanied by repetitive questioning and temporal disorientation while higher cognitive functions are preserved. The symptoms usually resolve by 24h. CASE REPORT: We present an interesting case of 31year old female who was planned for robotically assisted right sided pyeloplasty...
February 2017: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/28161380/percent-of-tracer-clearance-at-40%C3%A2-minutes-in-mag3-renal-scans-is-more-sensitive-than-t1-2-for-symptomatic-ureteropelvic-junction-obstruction
#11
Friedrich-Carl von Rundstedt, Jason M Scovell, Shelly X Bian, Dominic Lee, Wesley A Mayer, Richard E Link
OBJECTIVE: To increase the diagnostic sensitivity of standard MAG3 diuretic renal scans for ureteropelvic junction obstruction (UPJO) by exploring the utility of an alternative measurement P40, the percentage of maximal tracer counts present at 40 minutes. MATERIALS AND METHODS: Patients with strong clinical and anatomic evidence for UPJO may have a normal T1/2, making definitive diagnosis difficult. We reviewed the charts of 142 consecutive patients who underwent successful laparoscopic or robotic-assisted laparoscopic pyeloplasty for UPJO between 2005 and 2015...
February 1, 2017: Urology
https://www.readbyqxmd.com/read/28153777/robot-assisted-laparoscopic-pyeloplasty-in-infants-using-5-mm-instruments
#12
Henry J Paradise, Gene O Huang, Rodolfo A Elizondo Sáenz, Minki Baek, Chester J Koh
BACKGROUND: Utilization of the robotic approach to pyeloplasty continues to grow in the field of pediatric urology. Adoption in the infant population has perhaps been the slowest because of the limited operative domain and relatively large instruments. METHOD: In this video, we demonstrate key steps in performing an infant robotic pyeloplasty using the smallest instruments currently available for the da Vinci S and Si systems (Intuitive Surgical, Sunnyvale, California)...
January 17, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28114786/a-non-narcotic-pathway-for-the-management-of-postoperative-pain-following-pediatric-robotic-pyeloplasty
#13
Ziho Lee, Marion Schulte, W Robert DeFoor, Pramod P Reddy, Brian A VanderBrink, Eugene A Minevich, Zachary Liss, Katherine Corbyons, Paul H Noh
PURPOSE: The purpose of this study is twofold: first, to describe the non-narcotic pathway (NNP) for the management of postoperative pain after robotic pyeloplasty (RP); second, to compare perioperative outcomes for children undergoing RP whose postoperative pain was managed with and without the NNP. PATIENTS AND METHODS: A retrospective review was performed on 96 consecutive patients from October 2011 to December 2015 who underwent RP by three primary surgeons at a single pediatric institution...
March 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28093186/re-reoperative-robotic-pyeloplasty-in-children
#14
Douglas A Canning
No abstract text is available yet for this article.
February 2017: Journal of Urology
https://www.readbyqxmd.com/read/28093160/re-successful-outcomes-in-robot-assisted-laparoscopic-pyeloplasty-using-a-unidirectional-barbed-suture
#15
Jeffrey A Cadeddu
No abstract text is available yet for this article.
February 2017: Journal of Urology
https://www.readbyqxmd.com/read/28093158/re-robotic-assisted-laparoscopic-pyeloplasty-analysis-of-symptomatic-patients-with-equivocal-renal-scans
#16
Jeffrey A Cadeddu
No abstract text is available yet for this article.
February 2017: Journal of Urology
https://www.readbyqxmd.com/read/28061550/the-watertightness-of-the-anastomosis-after-laparoscopic-or-robot-assisted-pyeloplasty-is-a-drainage-necessary
#17
Annika Rühle, Emilio Arbelaez, Agostino Mattei, Hansjoerg Danuser
OBJECTIVE: To determine whether or not temporary drainage is necessary immediately following laparoscopic (lap) and robot-assisted (rob) pyeloplasty (PP). PATIENTS AND METHODS: Of 99 patients undergoing lap PP (n = 23) or rob PP (n = 76) for treatment of ureteropelvic junction obstruction (UPJO), 52 had no drainage, 47 were given an "easy-flow" drain (EFD). The volume of leaking urine (in mL) was defined as the volume of drainage fluid (in mL) × creatinine concentration in drainage fluid (in μmol/mL)/median urine creatinine concentration (in μmol/mL)...
March 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28039051/pediatric-robot-assisted-redo-pyeloplasty-with-buccal-mucosa-graft-a-novel-technique
#18
Jennifer J Ahn, Michael E Shapiro, Jonathan S Ellison, Thomas S Lendvay
OBJECTIVE: To report a novel approach of pediatric robot-assisted redo pyeloplasty with buccal mucosa graft (BMG). METHODS: An Institutional Review Board-approved retrospective review of all patients undergoing robot-assisted redo pyeloplasty with BMG at our institution was performed. OPERATIVE DETAILS: For all patients, the following ports were used: one 8.5 mm camera, two 8 mm robotic, and one 5 mm assistant. Initial dissection was performed laparoscopically and robotically, and the ureter was incised longitudinally along the anterior surface...
December 27, 2016: Urology
https://www.readbyqxmd.com/read/28008756/cost-effectiveness-and-robot-assisted-urologic-surgery-does-it-make-dollars-and-sense
#19
Ryan W Dobbs, Brenden P Magnan, Nikita Abhyankar, Ashok K Hemal, Ben Challacombe, Jim Hu, Prokar Dasgupta, Francesco Porpiglia, Simone Crivellaro
INTRODUCTION: The introduction of the robotic surgical platform has led to distinct changes in practice patterns and the utilization of minimally invasive surgery in urology. While use of the robotic system is associated with improvements in perioperative outcomes such as estimated blood loss and hospital stay, there are significant fixed and variable costs with the purchase, maintenance and use of the robotics system that has led many authors to investigate the cost effectiveness of robotic urologic surgery...
December 22, 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/27922703/robotkirurgi-p%C3%A3-bred-front-%C3%A2-utan-evidensbaserad-grund-tekniken-anv%C3%A3-nds-allt-mer-trots-att-den-%C3%A3-r-dyr-och-att-vetenskapliga-bevis-f%C3%A3-r-patientnytta-saknas
#20
Henrik Sjövall, Josefine Persson
Robot-assisted surgery on a broad front - without evidence for being cost-effective Robot-assisted surgery is currently heavily marketed. The HTA centre in Region Västra Götaland has produced five HTA reports regarding use of robot-assisted surgery in different clinical situations (prostatic cancer, benign gynaecological surgery, pediatric pyeloplasty and fundoplication, and rectal cancer), finding weak evidence for a patient value. The current report by Per Carlsson et al confirms that robot-assisted surgery indeed leads to increased costs that are not balanced by augmented patient value, i...
November 29, 2016: Läkartidningen
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