V02-02 SINGLE PORT ROBOTIC PYELOPLASTY

Abstract

INTRODUCTION AND OBJECTIVE: Single Port Robotic Assisted Laparoscopic Surgery is a new technology released by Intuitive in 2018. This technology further advances minimally invasive surgery. It enables multiple instruments with fully wristed motions through one 25mm port. As with all new technologies, there is an associated learning curve and this video aims to demonstrate appropriate use of this technology for pyeloplasty. METHODS: 33 year old female with no significant past medical history presented with right flank pain. Workup demonstrated right ureteropelvic junction obstruction. RESULTS: Patient underwent single port robotic assisted laparoscopic right pyeloplasty. A single 25mm incision was placed in the umbilicus for the robotic instruments. A 5mm assistant port was placed in the ipsilateral lower quadrant within the pant line for the assistant port. The procedure mostly mimicked the multiport approach. Adjustments were made to instrument placement and traction to accommodate the different mobility of the single port system. CONCLUSIONS: The single port enables excellent mobility and control. It is similarly safe and effective as the multiport. In our unpublished data we have found no significant difference between our multiport and single port outcomes.Source of Funding: None