V495 NAVIGATING THE DIFFICULT ROBOTIC PYELOPLASTY: TIPS AND TRICKS

Abstract

You have accessJournal of UrologyTransplantation, Urolithiasis & Hydronephrosis1 Apr 2011V495 NAVIGATING THE DIFFICULT ROBOTIC PYELOPLASTY: TIPS AND TRICKS David Thiel and Alex Rogers David ThielDavid Thiel Jackosnville, FL More articles by this author and Alex RogersAlex Rogers Jacksonville, FL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.591AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Urology has adopted the da Vinci surgical system (Intuitive Surgical Corp, Sunnyvale, CA) for robotic assisted laparoscopic prostatectomy. Use of the technology has been expanded to other complex reconstructive urologic procedures such as pyeloplasty. Robotic assisted pyeloplasty (RAP) is being performed by many surgeons without prior laparoscopic experience. Difficult situations encountered intra-operatively can increase operating room time, increase morbidity, and decrease the success of RAP. METHODS Patient selection, port placement, ureteropelvic junction obstruction (UPJO) exposure, UPJO excision and repair are reviewed and tips given to circumvent difficult situations encountered during RAP. The video demonstrates techniques to aid in cases of extreme obesity, a large floppy liver, difficult to reflect colon (trans-mesenteric pyeloplasty), crossing vessels, large calculi, and previous attempts at UPJO repair. RESULTS Techniques to aid in successful completion of RAP in the face of extreme obesity, a large floppy liver, difficult to reflect colon (trans-mesenteric pyeloplasty), crossing vessels, large calculi, and previous attempts at UPJO repair are demonstrated. CONCLUSIONS This video demonstrates tips to aid in successful completion of UPJO repair in the face of difficult situations commonly encountered during surgery. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e202 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information David Thiel Jackosnville, FL More articles by this author Alex Rogers Jacksonville, FL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...