Abstract
In experienced hands, laparoscopic pyeloplasty is an effective alternative treatment for symptomatic ureteropelvic junction obstruction (UPJO). Although laparoscopic surgery can clearly benefit patients, laparoscopic pyeloplasty using conventional instrumentation is complex. The purpose of this report is to evaluate the feasibility of robot assisted laparoscopic surgery. Eleven pyeloplasties for UPJO were performed via a laparoscopic transperitoneal approach exclusively with the da Vinci Surgical System. The mean procedure time was 197 min (range 110–310 min). All operations were completed laparoscopically with no intraoperative complications and negligible blood loss. All patients recovered rapidly after surgery with excellent functional results at the 1 year follow-up. Our initial experience suggests that robot assisted Anderson-Hynes pyeloplasty is a safe and effective alternative to conventional laparoscopic surgery. In our opinion, robot assisted surgery will allow urologists to perform complex procedures with greater precision, confidence, and better results, as well as enable them to adapt the whole spectrum of laparoscopic procedures to their field.
Similar content being viewed by others
References
Bauer JJ, Bishoff JT, Moore RG, Chen RN, Iverson AJ, Kavoussi LR (1999) Laparoscopic versus open pyeloplasty: assessment of objective and subjective outcome. J Urol 162:692–695
Bentas W, Wolfram M, Bräutigam R, Binder J (2002) Laparoscopic transperitoneal adrenalectomy using a remote-controlled robotic surgical system. J Endourol 16:373–376
Bentas W, Wolfram M, Jones J, Bräutigam R, Kramer W, Binder J (2003) Robotic technology and the translation of open radical prostatectomy to laparoscopy: the early Frankfurt experience with robotic radical prostatectomy and one year follow-up. Eur Urol (in press)
Binder J, Kramer W (2001) Robotically-assisted laparoscopic radical prostatectomy. BJU Int 87:408–410
Brooks JD, Kavoussi LR, Preminger GM, Schuessler WW, Moore RG (1995) Comparison of open and endourologic approaches to the obstructed ureteropelvic junction. Urology 46:791–795
Chen RN, Moore RG, Kavoussi LR (1998) Laparoscopic pyeloplasty: indications, technique and long-term follow-up. Urol Clin North Am 25:323–330
Eden CG, Cahill D, Allen JD (2001) Laparoscopic dismembered pyeloplasty: 50 consecutive cases. BJU Int 88:526–531
Garcia-Ruiz A, Gagner M, Miller JH, Steiner CP, Hahn JF (1998) Manual vs robotically assisted laparoscopic surgery in the performance of basic manipulation and suturing tasks. Arch Surg 133:957–961
Gettman MT, Neururer R, Bartsch G, Peschel R (2002) A comparison of laparoscopic pyeloplasty performed with the da Vinci robotic system versus standard laparoscopic techniques: initial clinical results. Eur Urol 42:453–458
Gettman MT, Neururer R, Bartsch G, Peschel R (2002) Anderson-Hynes dismembered pyeloplasty performed using the da Vinci robotic system. Urology 60:509–513
Janetschek G, Marberger M (2000) Laparoscopic surgery in urology. Curr Opin Urol 10:351–357
Janetschek G, Reschel R, Frauscher F (2000) Laparoscopic pyeloplasty. Urol Clin North Am 27:695–704
Jarrett TW, Chan DY, Charambura TC, Fugita O, Kavoussi LR (2002) Laparoscopic pyeloplasty: the first 100 cases. J Urol 167:1253–1256
McDougall EM, Soble JJ, Wolf JSJr, Nakada SY, Elashry OM, Clayman RV (1996) Comparison of three-dimensional and two-dimensional laparoscopic video systems. J Endourol 10:371–374
Soulie M, Salomon L, Patard J, Mouly P, Manuntana A, Anitphon P, Lobel B, Abbou CC, Plante P (2001) Extraperitoneal laparoscopic pyeloplasty: a multicenter study of 55 procedures. J Urol 166:48–50
Tan HL (1999) Laparoscopic Anderson-Hynes dismembered pyeloplasty in children. J Urol 162:1045–1048
Türk I, Davis J, Winkelmann B, Deger S, Richter F, Fabrizio M, Schonberger B, Jordan G, Loening S (2002) Laparoscopic dismembered pyeloplasty—the method of choice in the presence of an enlarged renal pelvis and crossing vessels. Eur Urol 42:268–275
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bentas, W., Wolfram, M., Bräutigam, R. et al. Da Vinci robot assisted Anderson-Hynes dismembered pyeloplasty: technique and 1 year follow-up. World J Urol 21, 133–138 (2003). https://doi.org/10.1007/s00345-003-0348-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00345-003-0348-x