The missed crossing vessel during open pyeloplasty: a potential advantage of the robot-assisted approach in children.
J Robot Surg
; 18(1): 285, 2024 Jul 16.
Article
em En
| MEDLINE
| ID: mdl-39012421
ABSTRACT
OBJECTIVE:
To investigate whether the panoramic view offered by robot-assisted laparoscopic pyeloplasty (RALP) reduces the likelihood of missing a crossing vessel compared to open pyeloplasty in cases where initial pyeloplasty fails.METHODS:
A single institution redo-pyeloplasty database was reviewed for children treated between January 2012 to July 2023. Clinical history, imaging and operative details were reviewed to identify the etiology for the redo procedure.RESULTS:
Cohort consisted of 45 patients undergoing a redo RALP during the study period. 29 of 45 patients had an initial open surgical approach, whereas 16 had an initial RALP. 10 patients were noted to have a missed crossing vessel on redo pyeloplasty - 9 had an initial open approach whereas 1 had an initial RALP (p<0.0001).CONCLUSIONS:
RALP may reduce the risk of missing a crossing vessel due to the panoramic view of the surgical field intrinsic to an intraperitoneal RALP approach.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Obstrução Ureteral
/
Laparoscopia
/
Procedimentos Cirúrgicos Robóticos
/
Pelve Renal
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Idioma:
En
Revista:
J Robot Surg
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos