Single port (SP) robotic pyeloplasty in a pediatric patient.

Autor: Smith JM; Department of Urology, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address: jordan.smith@urology.ufl.edu., Hernandez AD; Department of Urology, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address: adhernandez@ufl.edu., Reich DA; Department of Urology, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address: daniel.reich@ufl.edu., Maidaa M; Department of Urology, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address: michael.maidaa@urology.ufl.edu., DeMarco RT; Department of Urology, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address: romano.demarco@urology.ufl.edu., Bayne CE; Department of Urology, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address: christopher.bayne@urology.ufl.edu.
Jazyk: angličtina
Zdroj: Journal of pediatric urology [J Pediatr Urol] 2024 Apr; Vol. 20 (2), pp. 340-341. Date of Electronic Publication: 2023 Dec 14.
DOI: 10.1016/j.jpurol.2023.12.001
Abstrakt: We began using the da Vinci single port (SP) robot for pediatric urologic surgeries at our institution due to limited access to the multiport robot. Availability of this technology has allowed us to schedule cases in a timelier fashion and increase access to minimally invasive urologic surgery for children in our area. Here, we report our technique for transperitoneal SP robotic pyeloplasty in the case of a 7 year-old boy with left ureteropelvic junction obstruction. Our technique was refined over a series of 10 patients under the age of 18. Highlights of the SP RALP technique include one 3 cm, concealed incision over the pubic tubercle, gentle frog leg positioning and burping of the boom to create optimal angle for robotic docking, and use of a "floating dock" to obtain 10 cm distance from target anatomy which is essential in smaller pediatric patients. SP pyeloplasty is safe and feasible in children and offers a concealed single incision alternative to the multiport approach.
Competing Interests: Conflicts of interest None of the authors have conflicts of interests to disclose.
(Copyright © 2023 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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