دورية أكاديمية
أعرض في EDS

Single-port robotic extraperitoneal pediatric pyeloplasty using low anterior access: Description of technique and initial experience.

التفاصيل البيبلوغرافية
العنوان: Single-port robotic extraperitoneal pediatric pyeloplasty using low anterior access: Description of technique and initial experience.
المؤلفون: Chavali JS; Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA., Frainey B; Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA., Ramos R; Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA., Ferguson E; Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA., Geskin A; Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA., Soputro N; Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA., Rhee A; Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA; Wake Med Health, Raleigh, NC, USA., Kaouk J; Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: kaoukj@ccf.org.
المصدر: Journal of pediatric urology [J Pediatr Urol] 2024 Jun; Vol. 20 (3), pp. 486.e1-486.e7. Date of Electronic Publication: 2024 Jan 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: England NLM ID: 101233150 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4898 (Electronic) Linking ISSN: 14775131 NLM ISO Abbreviation: J Pediatr Urol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kidlington, Oxford, UK : Elsevier, c2005-
مواضيع طبية MeSH: Robotic Surgical Procedures*/methods , Kidney Pelvis*/surgery , Urologic Surgical Procedures*/methods , Ureteral Obstruction*/surgery, Humans ; Child ; Male ; Female ; Child, Preschool ; Adolescent ; Treatment Outcome ; Laparoscopy/methods ; Prospective Studies ; Plastic Surgery Procedures/methods
مستخلص: Introduction: We aim to report our surgical technique, functional and radiological outcomes of single port (SP) extraperitoneal robotic pediatric pyeloplasty through a low anterior (3 cm) access using a da-Vinci single-port (SP) robotic surgical system in the pediatric population.
Material and Methods: We present our initial series of 6 pediatric patients that underwent robotic SP extraperitoneal pyeloplasty between 2022 and 2023. Patient clinicopathologic variables and perioperative outcomes were collected prospectively.
Results: All cases of SP extraperitoneal pyeloplasty were completed without any intraoperative complications or conversion to an open, laparoscopic, or multi-port robotic pyeloplasty. Total operative times including cystoscopy ranged from 178 min to 240 min. All patients tolerated the surgery with minimal postsurgical pain and no narcotic requirement. No intraoperative or immediate postoperative complications were recorded in the cohort. There were no readmissions after discharge at a median follow-up of 12 months (6-18 months) in our series.
Conclusions: Single port extraperitoneal pyeloplasty is a safe and feasible option for upper tract reconstruction in pediatric patients. All patients had complete resolution of symptoms and improvement of hydronephrosis on follow-up imaging.
Competing Interests: Conflict of interest - Jaya S. Chavali: no conflict. - Brendan Frainey: no conflict. - Ethan L. Ferguson: no conflict. - Nicolas A. Soputro: no conflict. - Roxana Ramos: no conflict. - Albert Geskin: no conflict. - Audrey Rhee: no conflict. - Jihad H. Kaouk: Speaker for Intuitive; Consultant for VTI, MethodAI, and EndoQuest Robotics.
(Copyright © 2024 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.)
فهرسة مساهمة: Keywords: Pediatrics; Pyeloplasty; Robotics; Single port
تواريخ الأحداث: Date Created: 20240130 Date Completed: 20240616 Latest Revision: 20240616
رمز التحديث: 20240617
DOI: 10.1016/j.jpurol.2024.01.009
PMID: 38290931
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-4898
DOI:10.1016/j.jpurol.2024.01.009