Transperitoneal robot-assisted laparoscopic pyeloplasty.

Minimally invasive pyeloplasty has achieved success that has approached open pyeloplasty. Key principles such as removal of fibrosis, extensive mobilization of the ureteropelvic junction and crossing vessels, and creation of a tension-free, widely spatulated anastamosis are important in successful repair. In this review, we discuss the preparation and operative steps in performing a robotic pyeloplasty. Patient selection and diagnostic approach is discussed in the preoperative setting. Important surgical steps described include port placement, management of crossing vessels, division and spatulation of the ureter, and reanastamosis. Finally, management of more difficult cases is discussed.

[1]  A. Hemal,et al.  Outcome analysis of robotic pyeloplasty: a large single‐centre experience , 2010, BJU international.

[2]  I. Singh,et al.  Robot-assisted pyeloplasty: review of the current literature, technique and outcome. , 2010, The Canadian journal of urology.

[3]  L. Kavoussi,et al.  Laparoscopic retroperitoneal lymph node dissection for high-risk pediatric patients with paratesticular rhabdomyosarcoma. , 2010, Journal of endourology.

[4]  R. Munver,et al.  Minimally invasive surgical management of pelvic‐ureteric junction obstruction: update on the current status of robotic‐assisted pyeloplasty , 2009, BJU international.

[5]  A. Lorenzo,et al.  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. , 2009, European urology.

[6]  C. Giberti,et al.  Ureteropelvic junction obstruction: which is the best treatment today? , 2009, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[7]  Benjamin R. Lee,et al.  Ureteropelvic junction obstruction secondary to crossing vessels-to transpose or not? The robotic experience. , 2009, The Journal of urology.

[8]  J. Kaouk,et al.  Is routine transposition of anterior crossing vessels during laparoscopic dismembered pyeloplasty necessary? , 2009, Journal of endourology.

[9]  D. Rabah,et al.  Computed tomography angiogram: Accuracy in renal surgery , 2009, International journal of urology : official journal of the Japanese Urological Association.

[10]  B. Chung,et al.  Laparoscopic dismembered pyeloplasty of a retrocaval ureter: case report and review of the literature. , 2008, European urology.

[11]  M. Stifelman,et al.  Robotic dismembered pyeloplasty: a 6-year, multi-institutional experience. , 2008, The Journal of urology.

[12]  C. Lallas,et al.  The minimally invasive treatment of ureteropelvic junction obstruction: a review of our experience during the last decade. , 2008, The Journal of urology.

[13]  R. Das,et al.  Laparoscopic versus open pyeloplasty: Comparison of two surgical approaches- a single centre experience of three years , 2008, Journal of minimal access surgery.

[14]  T. Jørgensen,et al.  Pediatric robot assisted retroperitoneoscopic pyeloplasty: a 5-year experience. , 2007, The Journal of urology.

[15]  G. Bartsch,et al.  Robotic Anderson‐Hynes pyeloplasty: 5‐year experience of one centre , 2007, BJU international.

[16]  C. Eden,et al.  Laparoscopic pyeloplasty: status and review of literature. , 2007, Journal of endourology.

[17]  Hong-zhao Li,et al.  Retrospective comparison of retroperitoneal laparoscopic versus open dismembered pyeloplasty for ureteropelvic junction obstruction. , 2006, The Journal of urology.

[18]  M. Chammas,et al.  Laparoscopic robotic‐assisted management of pelvi‐ureteric junction obstruction in patients with horseshoe kidneys: technique and 1‐year follow‐up , 2006, BJU international.

[19]  Vipul Patel,et al.  Robotic-assisted laparoscopic dismembered pyeloplasty. , 2005, Urology.

[20]  O. Göǧüs,et al.  Long-Term Results of Anderson-Hynes Pyeloplasty in 180 Adults in the Era of Endourologic Procedures , 2004, Urologia Internationalis.

[21]  P. O’Reilly,et al.  The long‐term results of Anderson–Hynes pyeloplasty , 2001, BJU international.

[22]  D. Bloom,et al.  The pathophysiology of UPJ obstruction. Current concepts. , 1998, The Urologic clinics of North America.