Robot assisted laparoscopic pyeloplasty: a review of the current status
| Autor: | Ketul Shah, R. Thaly, Michael K. Louie, Vipul R. Patel |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Pyeloplasty Technology Assessment Biomedical business.industry Robotic pyeloplasty medicine.medical_treatment First line Biophysics Ureteropelvic junction Robotics Computer Science Applications Surgery Open pyeloplasty Subjective improvement medicine.anatomical_structure Surgery Computer-Assisted medicine Laparoscopic pyeloplasty Operative time Humans Urologic Surgical Procedures Laparoscopy business |
| Zdroj: | The international journal of medical robotics + computer assisted surgery : MRCAS. 3 |
| ISSN: | 1478-596X |
| Popis: | Background Over the last decade minimally invasive endourologic and laparoscopic techniques have become the first line therapies for primary UPJ obstruction. Robotic assisted laparoscopic pyeloplasty for the correction of ureteropelvic junction has achieved outcomes comparable to those of open and laparoscopic techniques. We present a comprehensive review of the current literature of robotic assisted pyeloplasty. Methods We performed a systemic review of all the current literature examining demographic data, intra operative parameters and post-operative outcomes. Results In most published series in the literature, the operative time ranges from 122 to 300 minutes and the operative time ranges from 27 to 77 ml. Most series considers subjective improvement in the symptoms and improved drainage on post-operative diuretic renal scan as the measures of success. The reported success rates vary from 89 to 100%. Conclusion Robotic pyeloplasty is a feasible alternative to laparoscopic pyeloplasty. Short-term results indicate equivalent outcomes with the laparoscopic procedure. Long-term studies are still needed to compare robotic and open pyeloplasty outcomes, and to define the role of robotic pyeloplasty in a cost prohibitive health care system. Copyright © 2007 John Wiley & Sons, Ltd. |
| Databáze: | OpenAIRE |
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