Robot-Assisted Laparoendoscopic Single-Site Pyeloplasty: Technique Using the da Vinci Si Robotic Platform
| Autor: | Ephrem O. Olweny, Stephen Faddegon, Samuel K. Park, Sara L. Best, Yung K. Tan, Jeffrey A. Cadeddu, Casey A. Seideman |
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| Rok vydání: | 2012 |
| Předmět: |
Pyeloplasty
medicine.medical_specialty business.industry Dissection Urology medicine.medical_treatment Cosmesis Patient positioning Robotics Plastic Surgery Procedures Patient Positioning Surgery Open pyeloplasty Robotic systems Single site Humans Medicine Robot Laparoscopy business Umbilical incision |
| Zdroj: | Journal of Endourology. 26:971-974 |
| ISSN: | 1557-900X 0892-7790 |
| DOI: | 10.1089/end.2011.0573 |
| Popis: | Conventional laparoscopic dismembered pyeloplasty (LP) is an established alternative to open pyeloplasty given equivalent intermediate-term outcomes and decreased morbidity. Laparoendoscopic single-site (LESS) pyeloplasty has the potential to further decrease the morbidity of LP, while yielding superior cosmesis. It is, however, technically very challenging even with the use of an accessory port, largely because of the difficulty of intracorporeal suturing through a single umbilical incision. Application of the da Vinci robotic surgical platform to LESS pyeloplasty (R-LESS) has the potential to overcome these limitations. We describe our technique for R-LESS pyeloplasty using the da Vinci Si robot. We have found that use of the robotic system in conjunction with certain technique modifications helps to reduce the technical difficulty of LESS pyeloplasty and to shorten the physical learning curve associated with the procedure. |
| Databáze: | OpenAIRE |
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