Robot-assisted ureteric reconstructive surgeries for benign diseases : Initial single-center experience with point of technique

INTRODUCTION: We present our initial experience with robot-assisted reconstructive surgeries with the Da Vinci Xi robotic system for benign ureteric pathologies.

MATERIALS AND METHODS: This is a retrospective review of prospectively collected data of patients who underwent robot-assisted reconstructive procedures for benign diseases of the ureter at our department from April 2018 to November 2022. Demographic and perioperative details were recorded. Patients were followed up and surgical success was evaluated on the basis of symptomatic, functional, and radiological improvement.

RESULTS: A total of 34 patients underwent robot-assisted reconstructions for benign ureteric pathologies by various techniques. Mean age, body mass index (BMI), hospital stay and follow-up duration were 36 years, 24.1 kg/m2, 5.29 days, and 7.08 months respectively. Procedures included pyeloplasty in eight, primary ureteroneocystostomy (UNC) in seven, Psoas hitch UNC in five, Boari flap UNC in six, Ureteroureterostomy in four, ureterocalicostomy in two and ileal ureteral transposition in two patients. Mean docking time, total operative time, and estimated blood loss were 31.5 min, 178 min, and 64.3 ml, respectively. All patients had radiologic or functional improvement on follow-up after 6 months.

CONCLUSION: Robot-assisted reconstructive surgery for benign ureteric and bladder pathologies imparted excellent short-term outcomes without major complications with all the advantages of a minimally invasive approach.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Urologia - (2024) vom: 12. Feb., Seite 3915603241229144

Sprache:

Englisch

Beteiligte Personen:

Shrivastava, Nikita [VerfasserIn]
Bhargava, Priyank [VerfasserIn]
Jain, Pritesh [VerfasserIn]
Choudhary, Gautam Ram [VerfasserIn]
Jena, Rahul [VerfasserIn]
Singh, Mahendra [VerfasserIn]
Navriya, Shivcharan [VerfasserIn]
Madduri, Vijay Kumar Sarma [VerfasserIn]
Bhirud, Deepak Prakash [VerfasserIn]
Sandhu, Arjun Singh [VerfasserIn]

Links:

Volltext

Themen:

Advanced laparoscopy
Journal Article
Minimally invasive surgical procedures
Pyeloplasty
Reconstructive surgical procedures
Robotics
Treatment outcomes
Ureteric reconstruction

Anmerkungen:

Date Revised 12.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1177/03915603241229144

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368351882