Open Access

MINIMALLY INVASIVE AND ROBOTIC SURGERY

Robot-assisted pyeloplasty: review of the current literature, technique and outcome

Iqbal Singh¹, Ashok K. Hemal²

1 Division of Urology, Department of Surgery, University College of Medical Sciences (University of Delhi) & GTBH, New Delhi, India
2 Department of Urology, Baptist Medical Centre, Wake Forest University Health Sciences, Winston-Salem, North Carolina, USA
Address correspondence to Dr. Ashok K. Hemal, Department of Urology, Wake Forest University Medical Sciences & Baptist Medical Centre, Medical Centre Boulevard, Winston Salem 27157-1094 USA

Canadian Journal of Urology 2010, 17(2), 5099-5108.

Abstract

Aim: To review the global select data on the current technique, perioperative outcome and literature on the robot-assisted pyeloplasty (RAP).
Methods: The published English literature (PubMed) was extensively searched using the key words; robot, robot-assisted pyeloplasty, laparoscopy, laparoscopic pyeloplasty and ureteropelvic junction obstruction. The selected studies were then reviewed, tracked and analyzed in order to determine the current role, outcome and status of robot-assisted laparoscopic pyeloplasty.
Results: The search yielded about 25 published series on RAP comprising about 740 cases with a mean operative time, estimated blood loss, crossing vessel prevalence, hospital stay, perioperative complication rate and follow up duration of 194 min, 50 mL, 47%, 2.3 days, 6% and 14.9 months respectively.
Conclusion: The initial peri-operative results and intermediate follow up of cases of repair of the ureteropelvic junction obstruction with robot-assisted pyeloplasty appear to be favorable and comparable to that of open pyeloplasty, while long term outcome data is still awaited. The da Vinci surgical robotic system is a promising surgical armamentarium in the hands of the modern day urologist for the minimally invasive definitive surgical management of both primary and secondary ureteropelvic junction obstruction.

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