Single-Site Robotic Pyeloplasty Employing the Novel-Dedicated da Vinci Platform
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Abstract
Laparoendoscopic single-site surgery (LESS) was proposed with the aims to further reduce the limited invasiveness of conventional laparoscopy. Nevertheless, LESS remains a challenging surgical technique requiring great surgical skills, due to the lack of triangulation and reduced instruments movement. These limitations emerged more clearly when using LESS approach for reconstructive procedures such as pyeloplasty, in which proper suturing is mandatory to provide adequate repair of the stenotic upper urinary tract junction (UPJ).
In order to overcome this hurdles, the traditional da Vinci® robotic system was recently adapted to the LESS concept with encouraging results. We describe in details the surgical technique of robotic laparoendoscopic single-site (R-LESS) pyeloplasty employing the novel da Vinci Single-Site® platform. The clinical outcomes of the first series of patients submitted to this pyeloplasty technique were also reported.
Keywords
Upper urinary tract junction (UPJ) Robotic pyeloplasty Laparoendoscopic single-site surgery (LESS) da Vinci Single-Site® platform Surgical technique Perioperative complications Functional outcomeReferences
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