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Journal of Long-Term Effects of Medical Implants

Publicado 4 números por año

ISSN Imprimir: 1050-6934

ISSN En Línea: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Minimally Invasive Surgical Management of Ureteropelvic Junction Obstruction: Laparoscopic and Robot-Assisted Laparoscopic Pyeloplasty

Volumen 13, Edición 5, 2003, 18 pages
DOI: 10.1615/JLongTermEffMedImplants.v13.i5.20
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SINOPSIS

Ureteropelvic junction (UPJ) obstruction is characterized by a functionally significant impairment of urinary transport caused by an intrinsic or extrinsic obstruction in the area where the ureter joins the renal pelvis. The majority of cases are congenital in origin; however, acquired conditions at the level of the ureteropelvic junction may also present with symptoms and signs of obstruction. Until recently, open pyeloplasty and endoscopic techniques have been the main surgical options, with the intent of complete excision or incision of the obstruction. The introduction of laparoscopy and robot-assisted applications has allowed for minimally invasive reconstructive surgery that mirrors open surgical techniques. These techniques offer substantial benefits to patients by reducing morbidity, hastening postoperative recovery, and improving cosmetic outcome. During the last decade, laparoscopic pyeloplasty has garnered much interest. However, because of the technically challenging nature of this procedure, it is performed only at select medical centers by surgeons with advanced laparoscopic training. The recent introduction of robotics to the field of minimally invasive surgery may facilitate this procedure and allow for more widespread implementation by surgeons of varying skill levels. This review is limited primarily to the treatment of congenital or acquired UPJ obstruction via laparoscopic and robot-assisted laparoscopic pyeloplasty. Herein, we report the early results, ongoing evolution, and potential future role for these novel surgical procedures.

CITADO POR
  1. Albani Justin M., Lee David I., Clayman Ralph V., Robotic Renal Surgery: Pyeloplasty, in Robotics in Urologic Surgery, 2008. Crossref

  2. Steers William D., LeBeau Sam, Cardella Joseph, Fulmer Brant, Establishing a robotics program, Urologic Clinics of North America, 31, 4, 2004. Crossref

  3. Braga Luis H.P., Pace Kenneth, DeMaria Jorge, Lorenzo Armando J., Systematic Review and Meta-Analysis of Robotic-Assisted versus Conventional Laparoscopic Pyeloplasty for Patients with Ureteropelvic Junction Obstruction: Effect on Operative Time, Length of Hospital Stay, Postoperative Complications, and Success Rate, European Urology, 56, 5, 2009. Crossref

  4. Razdan S., Bagley Demetrius H., Mcginnis D.E., Minimizing Minimally Invasive Surgery: The 5-mm Trocar Laparoscopic Pyeloplasty, Journal of Endourology, 19, 5, 2005. Crossref

  5. Kaul S., Menon M., Robotics in laparoscopic urology, Minimally Invasive Therapy & Allied Technologies, 14, 2, 2005. Crossref

  6. Groth Travis W., Mitchell Michael E., Ureteropelvic Junction Obstruction, in Pediatric Surgery, 2012. Crossref

  7. Joyner Byron D., Mitchell Michael E., Ureteropelvic Junction Obstruction, in Pediatric Surgery, 2006. Crossref

  8. Kim Christina, Docimo Steven G., Pediatric Endourology, in Advanced Endourology, 2006. Crossref

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