Abstract
Traditionally, bilateral UPJO in adults was managed by the staged approach during the open surgery era, because of need for two separate incisions and change of patient positioning. In addition, there was a feared risk of post-operative bilateral renal obstruction. Even with advent minimal invasive laparoscopic surgery, simultaneous pyeloplasty did not pick up due to difficult suturing. However, robot-assisted surgery, with its distinct advantageous, had made it feasible. In this case series, we demonstrate safety and feasibility of bilateral simultaneous pyeloplasty over short term.
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Freilich DA, Nguyen HT, Borer J, Nelson C, Passerotti CC (2008) Concurrent management of bilateral ureteropelvic junction obstruction in children using robotic-assisted laparoscopic surgery. Int Braz J Urol Off J Braz Soc Urol 34(2):198–204 (discussion 204–5)
Eckstein HB, Drake DP (1976) Simultaneous bilateral pyeloplasties. Proc R Soc Med 69(9):664–665
Kumar R, Yadav R, Kolla SB (2007) Simultaneous bilateral robot-assisted dismembered pyeloplasties for bilateral ureteropelvic junction obstruction: technique and literature review. J Endourol Endourol Soc 21(7):750–753
Schwab CW, Casale P (2005) Bilateral dismembered laparoscopic pediatric pyeloplasty via a transperitoneal 4-port approach. J Urol 174(3):1091–1093
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Dr. Girdhar S. Bora, Dr. DurgaPrasad Bendapudi, Dr. Ravimohan S. Mavuduru, Dr. Santosh Kumar, Dr. Sudheer K. Devana, Dr. Shrawan K. Singh and Dr. Arup K. Mandal have no conflicts of interest.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Bora, G.S., Bendapudi, D., Mavuduru, R.S. et al. Robot-assisted bilateral simultaneous pyeloplasty: safe and feasible. J Robotic Surg 11, 145–149 (2017). https://doi.org/10.1007/s11701-016-0630-8
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DOI: https://doi.org/10.1007/s11701-016-0630-8