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Robot-Assisted Laparoscopic Pyeloplasty
Book chapter

Robot-Assisted Laparoscopic Pyeloplasty

Chad R. Tracy and Craig A. Peters
Pediatric Robotic Urology, pp.109-121
Current Clinical Urology, Humana Press
07/30/2009
DOI: 10.1007/978-1-60327-422-7_8

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Abstract

Laparoscopic pyeloplasty offers the success of open surgery with the benefit of decreased postoperative pain and decreased length of stay. Its use, however, is limited by the steep learning curve required for proficient laparoscopic skills. The introduction of robotic assistance shortens the laparoscopic learning curve and may allow increased use of laparoscopy in performing pediatric laparoscopic pyeloplasty. This chapter describes the key steps of robotic-assisted laparoscopic pyeloplasty including patient preparation, patient positioning, robotic set-up, use of a “hitch” stitch, antegrade and retrograde stent placement, ureteropelvic junction reconstruction, and postoperative care. In addition, the chapter includes a summary of current studies related to transperitoneal and retroperitoneal robotic-assisted laparoscopic pyeloplasty.
Hydronephrosis Kidney Laparoscopy Pediatrics Robotics Ureter Ureteral obstruction

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