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Robotic pyeloplasty

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https://www.readbyqxmd.com/read/28093186/re-reoperative-robotic-pyeloplasty-in-children
#1
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
#2
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
#3
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
#4
Annika Ruehle, Emilio Arbelaez, Agostino Mattei, Hansjörg Danuser
OBJECTIVE: To determine whether or not temporary drainage is necessary immediately following laparoscopic (lap) and robot-assisted (rob) pyeloplasty (PP). 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) x creatinine concentration in drainage fluid (in μmol/ml) / median urine creatinine concentration (in μmol/ml)...
January 6, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28039051/pediatric-robot-assisted-redo-pyeloplasty-with-buccal-mucosa-graft-a-novel-technique
#5
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 IRB-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 8.5mm camera, two 8mm robotic, and one 5mm 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
#6
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
#7
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
https://www.readbyqxmd.com/read/27894745/cevl-interactive-promoting-effective-teamwork-to-perform-robot-assisted-laparoscopic-pyeloplasty-in-pediatric-urology
#8
EDITORIAL
Belinda Li, Max Maizels, Dennis Liu, Edward Ming-Luan Gong, Bruce W Lindgren, Neha Malhotra, Diana Bowen, Sean Corbett
No abstract text is available yet for this article.
December 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27889223/laparoscopic-pyeloplasty-initial-experience-with-3d-vision-laparoscopy-and-articulating-shears
#9
Hiba Abou-Haidar, Talal Al-Qaoud, Roman Jednak, Alex Brzezinski, Mohamed El-Sherbiny, John-Paul Capolicchio
INTRODUCTION: Laparoscopic reconstructive surgery is associated with a steep learning curve related to the use of two-dimensional (2D) vision and rigid instruments. With the advent of robotic surgery, three-dimensional (3D) vision, and articulated instruments, this learning curve has been facilitated. We present a hybrid alternative to robotic surgery, using laparoscopy with 3D vision and articulated shears. OBJECTIVE: To compare outcomes of children undergoing pyeloplasty using 3D laparoscopy with articulated instruments with those undergoing the same surgery using standard laparoscopy with 2D vision and rigid instruments...
December 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27856354/robotic-assisted-surgery-and-treatment-of-urolithiasis
#10
REVIEW
Khurram Mutahir Siddiqui, David Mois Albala
Advancement in surgical management of urolithiasis has revolved around improvements in technology. Urologists have been at the forefront on embracing new technology and passing on the benefits to the patients. Da Vinci(®) robotic system has contributed significantly in improving the outcomes of minimally invasive procedures especially those requiring complex resections and reconstruction. Endourological and percutaneous techniques have established superiority in management of urolithiasis and majority of the patients are ideal candidates for such procedures...
December 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27843217/robot-assisted-pyeloplasty-for-pelvi-ureteric-junction-obstruction-of-lower-moiety-in-partial-duplex-system-a-technical-challenge
#11
Girdhar S Bora, Kalpesh Parmar, Ravimohan S Mavuduru
Management of pelvi-ureteric junction obstruction (PUJO) in a duplex system is technically challenging as dissection at the pelvis may jeopardize the vascularity of the normal moiety ureter. Anastomosing the pelvis to the one single ureter will have a risk of future development of stricture which then will risk both the moieties. Robotic assistance enables appropriate tissue dissection; minimal handling of normal ureter and precision in suturing, overcoming the potential challenges involved in the minimally invasive management of such complex cases...
October 2016: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/27789217/reoperative-laparoscopic-ureteropelvic-junction-obstruction-repair-in-children-safety-and-efficacy-of-the-technique
#12
Paulo Renato Marcelo Moscardi, João Arthur Brunhara Alves Barbosa, Hiury Silva Andrade, Marcos Figueiredo Mello, Bruno Nicolino Cezarino, Lorena Marçalo Oliveira, Miguel Srougi, Francisco Tibor Dénes, Roberto Iglesias Lopes
PURPOSE: Failure after pyeloplasty for ureteropelvic junction obstruction in children may occur in up to 10% of cases. Therapeutic options include Double-J® stent placement, endoscopic treatment and reoperation. Laparoscopic and robotic reoperative modalities seem safe and efficacious, although pediatric series are limited in the literature. We report the largest known series of reoperative laparoscopic ureteropelvic junction obstruction repair in children and compare this approach to primary laparoscopic pyeloplasty...
October 24, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27785727/establishing-a-pediatric-robotic-surgery-program-in-canada
#13
Andreana Bütter, Neil Merritt, Sumit Dave
Despite the introduction of robotic surgery in 2000, few pediatric surgeons outside the United States have embraced this technology. We discuss our experience with establishing the first Canadian pediatric robotic surgery program. After simulator training, live animal surgery and observation of robotically assisted cases at an outside institution, we performed our first pediatric da Vinci(®) surgery in July 2013. A prospective database was established to assess outcomes. Forty one children have undergone robotically assisted surgery for the following 42 procedures: (a) pyeloplasty (17), (b) ureteral reimplantations (12), (c) uretero-uretostomy (1), (d) cholecystectomies (10), (e) interval appendectomy (1) and (f) distal pancreatectomy (1)...
October 26, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27766551/validated-cost-comparison-of-open-vs-robotic-pyeloplasty-in-american-children-s-hospitals
#14
William E Bennett, Benjamin M Whittam, Konrad M Szymanski, Richard C Rink, Mark P Cain, Aaron E Carroll
The objective of this study is to determine the cost and charge differences between patients undergoing open vs. robotic pyeloplasty. This is a retrospective analysis of the Pediatric Health Information System (PHIS) database in patients undergoing pyeloplasty between 2004 and 2013 conducted in large pediatric children's hospitals in the United States which contribute to PHIS. The participants included all pediatric patients undergoing pyeloplasty at these institutions. We assessed RCC-based cost, charge details, length of stay, and the presence of complications, and compared them between open and robotic cases...
October 20, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27717293/is-one-early-renographic-follow-up-adequate-to-measure-the-success-of-robotic-pyeloplasty
#15
Alexander Roosen, Cagatay Dogan, Huy Hoang Nguyen, Markus Heiland, Detlev Longwitz, Burkhard Ubrig
PURPOSE: Diuretic renography (DRG) is commonly used to diagnose ureteropelvic junction obstruction (UPJO) and to evaluate the success of surgical repair (pyeloplasty). Duration, frequency, and interpretation of renographic follow-ups are still under dispute. METHODS: We retrospectively reviewed 94 consecutive patients diagnosed with UPJO who underwent a minimally invasive, robotically assisted laparoscopic pyeloplasty at our institution between January 2009 and September 2015...
December 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27699877/laparoendoscopic-single-site-surgeries-a-multicenter-experience-of-469-cases-in-japan
#16
Fuminori Sato, Ken Nakagawa, Akihiro Kawauchi, Akio Matsubara, Takatsugu Okegawa, Tomonori Habuchi, Koji Yoshimura, Akio Hoshi, Hidefumi Kinoshita, Akira Miyajima, Yasuyuki Naitoh, Shogo Inoue, Naoshi Itaya, Shintaro Narita, Kazuya Hanai, Kazutoshi Okubo, Masaaki Yanishi, Tadashi Matsuda, Toshiro Terachi, Hiromitsu Mimata
OBJECTIVE: To report on a multi-institutional series of non-robotic urological laparoendoscopic single-site surgery in Japan. METHODS: Consecutive cases of laparoendoscopic single-site surgery carried out between February 2009 and December 2012 at nine academic institutions were included. We examined the surgical outcomes, including conversion and complications rates. RESULTS: Four hundred and sixty-nine cases were included in the analysis...
October 4, 2016: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/27555678/impact-of-assistant-surgeon-on-outcomes-in-robotic-surgery
#17
Rishi Nayyar, Siddharth Yadav, Prabhjot Singh, Prem Nath Dogra
INTRODUCTION: It is believed that the outcomes of robotic surgery depends not only on the experience of the console surgeon but also the patient-side assistant. However, objective data supporting it is lacking. The aim of this study was to objectively determine change in operative outcomes with increasing experience of patient-side assistant. MATERIALS AND METHODS: We performed a retrospective analysis of 222 urologic robotic procedures performed by two teams of surgeon-assistant and split the data into two chronological halves according to date of surgery...
July 2016: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/27549028/from-endopyelotomy-to-robotic-pyeloplasty-what-a-safari
#18
Weil R Lai, Carrie A Stewart, Raju Thomas
Surgical management of ureteropelvic junction obstruction (UPJO) has historically been performed with open pyeloplasty. With the advent of endourology, laparoscopy, and robotics, minimally-invasive techniques have been described and accepted as alternatives to open surgery. Each of these approaches has its own advantages and disadvantages, equipment needs, degree of invasiveness, and experience of the treating urologist. Advocates and critics have their own say as to their preferred technique. In this article, we review the chronological evolution of these techniques and discuss their current role in the management of UPJO...
January 6, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/27516351/robot-assisted-laparoscopic-pyeloplasty-in-a-pediatric-patient-with-horseshoe-kidney-surgical-technique-and-review-of-the-literature
#19
Marco Oderda, Giorgio Calleris, Marco Allasia, Ettore Dalmasso, Marco Falcone, Massimo Catti, Emilio Merlini, Paolo Gontero
OBJECTIVE: The aim of this study was to describe the technical aspects of a robotic pyeloplasty in pediatric patients with uretero-pelvic junction obstruction (UPJO) in horseshoe kidney (HSK) through the report of our recent case, and to outline the state of the art of minimally invasive pyeloplasty (MIP) with a systematic review of the literature. METHODS: We describe all the steps of our surgery performed on an 11-year-old patient with left UPJO in HSK in detail...
August 2, 2016: Urologia
https://www.readbyqxmd.com/read/27495150/robot-assisted-laparoscopic-pyeloplasty-for-ureteropelvic-junction-obstruction-comparison-between-pediatric-and-adult-patients-japanese-series
#20
Kentaro Mizuno, Yoshiyuki Kojima, Satoshi Kurokawa, Hideyuki Kamisawa, Hidenori Nishio, Yoshinobu Moritoki, Akihiro Nakane, Tetsuji Maruyama, Atsushi Okada, Noriyasu Kawai, Keiichi Tozawa, Kenjiro Kohri, Takahiro Yasui, Yutaro Hayashi
Robotic-assisted procedures are gaining traction as a viable form of minimally invasive surgery in the field of reconstructive surgery. In this article, the aim is to present our initial experience and clinical outcomes of robot-assisted laparoscopic pyeloplasty (RAL-P). We performed RAL-P in 22 patients for the management of ureteropelvic junction obstruction between December 2012 and August 2015. The da Vinci® S surgical system was utilized for all cases. All procedures were performed via a transperitoneal approach...
August 6, 2016: Journal of Robotic Surgery
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