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Robot-assisted laparoscopic dismembered pyeloplasty for ureteropelvic junction obstruction: a multi-institutional experience
- Source :
- Urology. 79(2)
- Publication Year :
- 2011
-
Abstract
- To report a 6-year multi-institutional experience and outcomes with robot-assisted laparoscopic pyeloplasty (RLP) for the repair of ureteropelvic junction obstruction (UPJO).Between June 2002 and October 2008, 168 adult patients from 3 institutions underwent RLP for UPJO. A retrospective analysis of prospectively collected data were performed after institutional review board approval. Diagnosis was by intravenous urogram or computed tomography scan and diuretic renogram. All patients underwent RLP through a 4-port laparoscopic technique. Demographic, preoperative, operative, and postoperative endpoints for primary and secondary repair of UPJO were measured. Success was defined as a T½ of20 minutes on diuretic renogram and symptom resolution. Pain resolution was assessed by subjective patient reports.Of 168 patients, 147 (87.5%) had primary repairs and 21 (12.5%) had secondary repairs. Of the secondary repairs, 57% had a crossing vessel etiology. Mean operative time was 134.9 minutes, estimated blood loss was 49 mL, and length of stay was 1.5 days. Mean follow-up was 39 months. Overall, 97.6% of patients had a successful outcome, with a 6.6% overall complication rate.To our knowledge, this review represents the largest multi-institutional experience of RLP with intermediate-term follow-up. RLP is a safe, efficacious, and viable option for either primary or secondary repair of UPJO with reproducible outcomes, a high success rate, and a low incidence of complications.
- Subjects :
- Adult
Male
Reoperation
medicine.medical_specialty
Pyeloplasty
Urology
medicine.medical_treatment
Blood Loss, Surgical
Ureteropelvic junction
Young Adult
Postoperative Complications
Blood loss
medicine
Humans
Kidney Pelvis
Young adult
Aged
Retrospective Studies
Postoperative Care
business.industry
Incidence (epidemiology)
Retrospective cohort study
Robotics
Length of Stay
Middle Aged
Institutional review board
Surgery
medicine.anatomical_structure
Treatment Outcome
Etiology
Female
Laparoscopy
Stents
Ureter
business
Ureteral Obstruction
Subjects
Details
- ISSN :
- 15279995
- Volume :
- 79
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Urology
- Accession number :
- edsair.doi.dedup.....5de683f8b7ad410e1aad6aca11dfcd21