Robot-assisted laparoscopic pyeloplasty in infants using 5-mm instruments

J Pediatr Urol. 2017 Apr;13(2):221-222. doi: 10.1016/j.jpurol.2016.12.011. Epub 2017 Jan 17.

Abstract

Background: Utilization of the robotic approach to pyeloplasty continues to grow in the field of pediatric urology. Adoption in the infant population has perhaps been the slowest because of the limited operative domain and relatively large instruments.

Method: In this video, we demonstrate key steps in performing an infant robotic pyeloplasty using the smallest instruments currently available for the da Vinci S and Si systems (Intuitive Surgical, Sunnyvale, California).

Results: At our institution, 20 robot-assisted laparoscopic infant pyeloplasties have been performed using 5-mm instruments. There have been no conversions to an open approach. The patient age ranged from 2 to 9 months old. The average operative time was 2 h and 28 min.

Conclusion: The treatment success rate was 95% at an average of 8.3 months of follow-up.

Keywords: Hydronephrosis; Infant; Robotic surgery; Ureteropelvic junction obstruction.

Publication types

  • Evaluation Study

MeSH terms

  • Equipment Design
  • Female
  • Follow-Up Studies
  • Hospitals, Pediatric
  • Humans
  • Hydronephrosis / diagnostic imaging
  • Hydronephrosis / surgery
  • Infant
  • Kidney Pelvis / surgery*
  • Laparoscopy / methods*
  • Male
  • Nephrotomy / instrumentation*
  • Nephrotomy / methods
  • Operative Time
  • Retrospective Studies
  • Risk Assessment
  • Robotic Surgical Procedures / instrumentation*
  • Robotic Surgical Procedures / methods
  • Robotics*
  • Texas
  • Time Factors
  • Treatment Outcome