Passing from open to robotic surgery for dismembered pyeloplasty: a single centre experience
Identifieur interne : 000F66 ( Main/Merge ); précédent : 000F65; suivant : 000F67Passing from open to robotic surgery for dismembered pyeloplasty: a single centre experience
Auteurs : Marcelo Di Gregorio [Belgique] ; Andrei Botnaru [Belgique] ; Laurent Bairy [Belgique] ; Francis Lorge [Belgique]Source :
- SpringerPlus [ 2193-1801 ] ; 2014.
Abstract
The treatment of symptomatic uretropelvic junction obstruction (UPJO) has evolved towards minimal invasive endourologic and laparoscopic techniques. Robotic assisted laparoscopic pyeloplasty has achieved outcomes comparable to those corresponding to open and laparoscopic techniques.
The objective of this work is to demonstrate that the transition between open to robotic surgeries is straightforward. We analysed retrospectively “our initial results” in robotic assisted UPJ reconstruction procedures. Technical and convalescence aspects for 17 reconstructive robotic procedures performed by 2 surgeons in a 5 years period have been evaluated. Success consisted of no postoperative symptoms, no evidence of obstruction on mercaptoacetyltriglycine-3 diuretic renal scan or computed tomography (CT) and non-further treatment. Statistics: mean ± standard deviation, median and range.
From 17 patients who underwent Da Vinci Robot procedure, 15 followed the complete treatment (2 were converted to laparotomy). Two patients had post-operative urine leakage; the stent was changed under sedation without further sequelae. The mean operative time was 189 minutes. The average hospital stay was 4 days. The average follow-up was 25 months. There was only one patient with UPJ stenosis at 6 months and he was treated by balloon dilation. All patients were followed with MAG 3 lasix renal scan, CT or urography. Except the patient with recurrent stenosis, all patients were asymptomatic without objective evidence of obstruction at the present time.
Robotic pyeloplasty technique is feasible and gives good results without previous laparoscopic experience.
Url:
DOI: 10.1186/2193-1801-3-580
PubMed: 25332880
PubMed Central: 4201660
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PMC:4201660Le document en format XML
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wallon</region></placeName></affiliation></author><author><name sortKey="Botnaru, Andrei" sort="Botnaru, Andrei" uniqKey="Botnaru A" first="Andrei" last="Botnaru">Andrei Botnaru</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Urology Department, Cliniques universitaires UCL Dinant-Godinne, Université Catholique de Louvain, 1 Av Gaston Thérasse, Yvoir, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Urology Department, Cliniques universitaires UCL Dinant-Godinne, Université Catholique de Louvain, 1 Av Gaston Thérasse, Yvoir</wicri:regionArea><orgName type="university">Université catholique de Louvain</orgName><placeName><settlement type="city">Louvain-la-Neuve</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province du Brabant wallon</region></placeName></affiliation></author><author><name sortKey="Bairy, Laurent" sort="Bairy, Laurent" uniqKey="Bairy L" first="Laurent" last="Bairy">Laurent 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Louvain</orgName><placeName><settlement type="city">Louvain-la-Neuve</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province du Brabant wallon</region></placeName></affiliation></author><author><name sortKey="Botnaru, Andrei" sort="Botnaru, Andrei" uniqKey="Botnaru A" first="Andrei" last="Botnaru">Andrei Botnaru</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Urology Department, Cliniques universitaires UCL Dinant-Godinne, Université Catholique de Louvain, 1 Av Gaston Thérasse, Yvoir, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Urology Department, Cliniques universitaires UCL Dinant-Godinne, Université Catholique de Louvain, 1 Av Gaston Thérasse, Yvoir</wicri:regionArea><orgName type="university">Université catholique de Louvain</orgName><placeName><settlement type="city">Louvain-la-Neuve</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province du Brabant wallon</region></placeName></affiliation></author><author><name sortKey="Bairy, Laurent" sort="Bairy, Laurent" uniqKey="Bairy L" first="Laurent" last="Bairy">Laurent Bairy</name><affiliation wicri:level="4"><nlm:aff id="Aff2">Aenesthesia Department, Cliniques universitaires UCL Dinant-Godinne, Université Catholique de Louvain, 1 Av Gaston Thérasse, Yvoir, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Aenesthesia Department, Cliniques universitaires UCL Dinant-Godinne, Université Catholique de Louvain, 1 Av Gaston Thérasse, Yvoir</wicri:regionArea><orgName type="university">Université catholique de Louvain</orgName><placeName><settlement type="city">Louvain-la-Neuve</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province du Brabant wallon</region></placeName></affiliation></author><author><name sortKey="Lorge, Francis" sort="Lorge, Francis" uniqKey="Lorge F" first="Francis" last="Lorge">Francis Lorge</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Urology Department, Cliniques universitaires UCL Dinant-Godinne, Université Catholique de Louvain, 1 Av Gaston Thérasse, Yvoir, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Urology Department, Cliniques universitaires UCL Dinant-Godinne, Université Catholique de Louvain, 1 Av Gaston Thérasse, Yvoir</wicri:regionArea><orgName type="university">Université catholique de Louvain</orgName><placeName><settlement type="city">Louvain-la-Neuve</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province du Brabant wallon</region></placeName></affiliation></author></analytic><series><title level="j">SpringerPlus</title><idno type="eISSN">2193-1801</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The treatment of symptomatic uretropelvic junction obstruction (UPJO) has evolved towards minimal invasive endourologic and laparoscopic techniques. Robotic assisted laparoscopic pyeloplasty has achieved outcomes comparable to those corresponding to open and laparoscopic techniques.</p><p>The objective of this work is to demonstrate that the transition between open to robotic surgeries is straightforward. We analysed retrospectively “our initial results” in robotic assisted UPJ reconstruction procedures. Technical and convalescence aspects for 17 reconstructive robotic procedures performed by 2 surgeons in a 5 years period have been evaluated. Success consisted of no postoperative symptoms, no evidence of obstruction on mercaptoacetyltriglycine-3 diuretic renal scan or computed tomography (CT) and non-further treatment. Statistics: mean ± standard deviation, median and range.</p></sec><sec><title>Findings</title><p>From 17 patients who underwent Da Vinci Robot procedure, 15 followed the complete treatment (2 were converted to laparotomy). Two patients had post-operative urine leakage; the stent was changed under sedation without further sequelae. The mean operative time was 189 minutes. The average hospital stay was 4 days. The average follow-up was 25 months. There was only one patient with UPJ stenosis at 6 months and he was treated by balloon dilation. All patients were followed with MAG 3 lasix renal scan, CT or urography. Except the patient with recurrent stenosis, all patients were asymptomatic without objective evidence of obstruction at the present time.</p></sec><sec><title>Conclusions</title><p>Robotic pyeloplasty technique is feasible and gives good results without previous laparoscopic experience.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Albany, Jm" uniqKey="Albany J">JM Albany</name></author><author><name sortKey="Yost, Aj" uniqKey="Yost A">AJ Yost</name></author><author><name sortKey="Streem, Sb" uniqKey="Streem S">SB Streem</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Babbar, P" uniqKey="Babbar P">P Babbar</name></author><author><name sortKey="Hemal, A" uniqKey="Hemal A">A Hemal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ballantyne, Gh" uniqKey="Ballantyne G">GH Ballantyne</name></author><author><name sortKey="Moll, F" uniqKey="Moll F">F 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uniqKey="Winfield H">HN Winfield</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Westebring Van Der Putten, Ep" uniqKey="Westebring Van Der Putten E">EP Westebring-van der Putten</name></author><author><name sortKey="Goossens, Rhm" uniqKey="Goossens R">RHM Goossens</name></author><author><name sortKey="Jakimowicz, Jj" uniqKey="Jakimowicz J">JJ Jakimowicz</name></author><author><name sortKey="Dankelman, J" uniqKey="Dankelman J">J Dankelman</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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