Long-term Outcomes of Robot-assisted Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction

Urology
Heather L HopfChandru P Sundaram

Abstract

To describe the long-term outcomes of robot-assisted laparoscopic pyeloplasty (RALP) for the correction of ureteropelvic junction (UPJ) obstruction. A retrospective electronic medical record review of RALPs from October 2002 to July 2014 was performed, with additional follow-up for patients released from regular urological care obtained by phone. RALP success was defined as resolution of symptoms of UPJ obstruction, improved hydronephrosis radiographically, or resolution of obstruction on follow-up Tc-99m mercaptoacetyltriglycine renal scan, intravenous pyelogram, or Whitaker test. RALP failure was defined as persistence of symptoms with obstruction demonstrated on functional imaging or requirement for a subsequent UPJ procedure. A total of 129 cases were identified, with an average patient age of 34.3 years. Stented RALP was performed in 80.6% of cases whereas 19.4% of patients underwent stentless RALP. A dismembered technique was performed in 90.7% of pyeloplasties, whereas 9.3% were nondismembered Fenger, Y-V, or flap pyeloplasties. Five intraoperative complications and 18 postoperative complications (Clavien I-IIIb) were described. One hundred twenty-nine patients received follow-up for a mean of 33.8 months (range 1-147 mo...Continue Reading

References

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Oct 16, 2012·The Journal of Urology·M Francesca MonnChandru P Sundaram

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Citations

Apr 3, 2016·Urology·Irene M McAleer
Dec 9, 2016·Journal of Endourology·Bruce L JacobsChristopher S Saigal
Jan 24, 2017·Clinica Chimica Acta; International Journal of Clinical Chemistry·Zhe-Ming XuChang Tao
Apr 12, 2017·Scandinavian Journal of Urology·Pernille Hammershøj JensenNessn H Azawi
May 19, 2018·Journal of Endourology·Igor Sorokin, Jeffrey A Cadeddu
Feb 16, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Lorenzo MasieriAndrea Minervini
Sep 7, 2019·Arab Journal of Urology·Ahmed FaroukHassan Shaker
May 21, 2018·Abdominal Radiology·Steven P RoweElliot K Fishman
Apr 11, 2019·Frontiers in Pediatrics·Aylin N Bilgutay, Andrew J Kirsch
Sep 29, 2018·Asian Journal of Endoscopic Surgery·Kentaro MizunoYutaro Hayashi
Nov 12, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Marie-Bérénice PopelinMorgan Roupret
Nov 19, 2020·Research and Reports in Urology·Guglielmo ManticaCarlo Terrone

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