@Article{,
AUTHOR = {Patrick P.W. Luke, Andrew R. Girvan, Mohammed Al Omar, Kenneth A. Beasley, Michael Carson},
TITLE = {Laparoscopic robotic pyeloplasty using the Zeus Telesurgical System},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {11},
YEAR = {2004},
NUMBER = {5},
PAGES = {2396--2400},
URL = {http://www.techscience.com/CJU/v11n5/62578},
ISSN = {1488-5581},
ABSTRACT = {We present the initial clinical experience using a robot to
perform a laparoscopic dismembered pyeloplasty at a
Canadian centre. Five patients were confirmed to
have ureteropelvic junction obstructions through
nuclear renography, cross sectional imaging and
intravenous pyelography. After performing a retrograde
ureteropyelography and double J stent placement,
laparoscopic dismembered pyeloplasty was performed by a
single surgeon at a remote workstation using the ZeusTM
Telepresence Surgery System (Intuitive Surgical‚). The
mean total operative time was 225±48 minutes, anastomotic
time was 71±16 minutes, and the mean time required to set-up the robot was 30±17 minutes. The estimated blood
loss was less than 100 ml in each case. A mean total of
22±10 mg of morphine sulfate equivalents were used for
analgesia, and the patients were discharged home after a
mean of 58±10 hrs. There were no robotic failures, and all
evaluable patients are free of pain and demonstrable
obstruction. One patient developed a delayed urine leak,
which resolved with percutaneous drainage. The robot
provides the ability to perform complicated operations with
precision through elimination of tremor, scaling of motion,
and through the use of ‘wristed’ instruments that enhance
the freedom of movement normally limited by straight-shafted laparoscopic needle drivers. The development of
robotic telesurgery is still in its infancy, and the significance
of its role in urologic surgery continues to be evaluated.},
DOI = {}
}