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Published in: Journal of Robotic Surgery 1/2019

01-02-2019 | Original Article

Complex pelvic–ureteric junction obstruction (PUJO): successful management with robotic assistance

Authors: Tushar Aditya Narain, Ravimohan S. Mavuduru, Aditya P. Sharma, Girdhar S. Bora, Sudheer K. Devana, Shrawan K. Singh, Arup K. Mandal

Published in: Journal of Robotic Surgery | Issue 1/2019

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Abstract

The management of complex pelvic–ureteric junction obstruction (PUJO) is challenging. The traditional open surgical approach used large incisions with prolonged post-operative recovery. Laparoscopic reconstruction in complex PUJO requires surgical expertise and is challenging to master. Robotic assistance has provided a viable minimally invasive alternative replicating the open surgical approach for such complex cases. In the present study, we evaluated the feasibility and success of robot-assisted reconstructive procedures in such situations.
Literature
1.
go back to reference Nayyar R, Gupta NP, Hemal AK (2010) Robotic management of complicated ureteropelvic junction obstruction. World J Urol 28(5):599–602CrossRefPubMed Nayyar R, Gupta NP, Hemal AK (2010) Robotic management of complicated ureteropelvic junction obstruction. World J Urol 28(5):599–602CrossRefPubMed
2.
go back to reference Klingler HC, Remzi M, Janetschek G, Kratzik C, Marberger MJ (2003) Comparison of open versus laparoscopic pyeloplasty techniques in treatment of uretero-pelvic junction obstruction. Eur Urol 44(3):340–345CrossRefPubMed Klingler HC, Remzi M, Janetschek G, Kratzik C, Marberger MJ (2003) Comparison of open versus laparoscopic pyeloplasty techniques in treatment of uretero-pelvic junction obstruction. Eur Urol 44(3):340–345CrossRefPubMed
3.
go back to reference Schwentner C, Pelzer A, Neururer R, Springer B, Horninger W, Bartsch G, Peschel R (2007) Robotic Anderson-Hynes pyeloplasty: 5-year experience of one centre. BJU Int 100(4):880–885CrossRefPubMed Schwentner C, Pelzer A, Neururer R, Springer B, Horninger W, Bartsch G, Peschel R (2007) Robotic Anderson-Hynes pyeloplasty: 5-year experience of one centre. BJU Int 100(4):880–885CrossRefPubMed
5.
6.
go back to reference Hemal AK, Mishra S, Mukharjee S, Suryavanshi M (2008) Robot-assisted laparoscopic pyeloplasty in patients of ureteropelvic junction obstruction with previously failed open surgical repair. Int J Urol 15(8):744–746CrossRefPubMed Hemal AK, Mishra S, Mukharjee S, Suryavanshi M (2008) Robot-assisted laparoscopic pyeloplasty in patients of ureteropelvic junction obstruction with previously failed open surgical repair. Int J Urol 15(8):744–746CrossRefPubMed
7.
go back to reference Atug F, Castle EP, Burgess SV, Thomas R (2005) Concomitant management of renal calculi and pelvi-ureteric junction obstruction with robotic laparoscopic surgery. BJU Int 96(9):1365–1368CrossRefPubMed Atug F, Castle EP, Burgess SV, Thomas R (2005) Concomitant management of renal calculi and pelvi-ureteric junction obstruction with robotic laparoscopic surgery. BJU Int 96(9):1365–1368CrossRefPubMed
8.
go back to reference Baldwin DD, Dunbar JA, Wells N, McDougall EM (2003) Single-center comparison of laparoscopic pyeloplasty, Acucise endopyelotomy, and open pyeloplasty. J Endourol 17(3):155–160CrossRefPubMed Baldwin DD, Dunbar JA, Wells N, McDougall EM (2003) Single-center comparison of laparoscopic pyeloplasty, Acucise endopyelotomy, and open pyeloplasty. J Endourol 17(3):155–160CrossRefPubMed
9.
go back to reference Stein RJ, Gill IS, Desai MM (2007) Comparison of surgical approaches to ureteropelvic junction obstruction: endopyeloplasty versus endopyelotomy versus laparoscopic pyeloplasty. Curr Urol Rep 8(2):140–149CrossRefPubMed Stein RJ, Gill IS, Desai MM (2007) Comparison of surgical approaches to ureteropelvic junction obstruction: endopyeloplasty versus endopyelotomy versus laparoscopic pyeloplasty. Curr Urol Rep 8(2):140–149CrossRefPubMed
10.
go back to reference Schuessler WW, Grune MT, Tecuanhuey LV, Preminger GM (1993) Laparoscopic dismembered pyeloplasty. J Urol 150(6):1795–1799CrossRefPubMed Schuessler WW, Grune MT, Tecuanhuey LV, Preminger GM (1993) Laparoscopic dismembered pyeloplasty. J Urol 150(6):1795–1799CrossRefPubMed
11.
12.
go back to reference Moon DA, El-Shazly MA, Chang CM, Gianduzzo TR, Eden CG (2006) Laparoscopic pyeloplasty: evolution of a new gold standard. Urology 67(5):932–936CrossRefPubMed Moon DA, El-Shazly MA, Chang CM, Gianduzzo TR, Eden CG (2006) Laparoscopic pyeloplasty: evolution of a new gold standard. Urology 67(5):932–936CrossRefPubMed
13.
go back to reference Yohannes P, Rotariu P, Pinto P, Smith AD, Lee BR (2002) Comparison of robotic versus laparoscopic skills: is there a difference in the learning curve? Urology 60(1):39–45CrossRefPubMed Yohannes P, Rotariu P, Pinto P, Smith AD, Lee BR (2002) Comparison of robotic versus laparoscopic skills: is there a difference in the learning curve? Urology 60(1):39–45CrossRefPubMed
14.
go back to reference Gettman MT, Peschel R, Neururer R, Bartsch G (2002) A comparison of laparoscopic pyeloplasty performed with the daVinci robotic system versus standard laparoscopic techniques: initial clinical results. Eur Urol 42(5):453–458CrossRefPubMed Gettman MT, Peschel R, Neururer R, Bartsch G (2002) A comparison of laparoscopic pyeloplasty performed with the daVinci robotic system versus standard laparoscopic techniques: initial clinical results. Eur Urol 42(5):453–458CrossRefPubMed
15.
go back to reference Gupta NP, Nayyar R, Hemal AK, Mukherjee S, Kumar R, Dogra PN (2010) Outcome analysis of robotic pyeloplasty: a large single-center experience. BJU Int 105(7):980–983CrossRefPubMed Gupta NP, Nayyar R, Hemal AK, Mukherjee S, Kumar R, Dogra PN (2010) Outcome analysis of robotic pyeloplasty: a large single-center experience. BJU Int 105(7):980–983CrossRefPubMed
Metadata
Title
Complex pelvic–ureteric junction obstruction (PUJO): successful management with robotic assistance
Authors
Tushar Aditya Narain
Ravimohan S. Mavuduru
Aditya P. Sharma
Girdhar S. Bora
Sudheer K. Devana
Shrawan K. Singh
Arup K. Mandal
Publication date
01-02-2019
Publisher
Springer London
Published in
Journal of Robotic Surgery / Issue 1/2019
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-018-0829-y

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