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Robot-Assisted Laparoscopic Pyeloplasty

  • Iqbal SinghEmail author
  • Ashok Kumar Hemal
Chapter

Abstract

In 1886, Trendelenburg described the first open surgical repair of a ureteropelvic junction obstruction (UPJO), and the first successful pyeloplasty was performed 5 years later by Kuster in 1891.1 Over the next 100 years drastic changes occurred in the pyeloplasty techniques like Heineke-Mickulicz by Fenger, plication of the renal pelvis by Kelly, Finney pyloroplasty, Y-V pyeloplasty. Culp and de-Weerd introduced the spiral flap in 1951, followed by vertical flap by Scardino and Prince in 1953. Until 25 years ago, the gold standard for UPJO repair was an Anderson–Hynes dismembered pyeloplasty through a flank incision with reported success rates of 95–99%.2 With the development of minimal access techniques, the treatment options available to the urologist have now broadened significantly. In 1983, Wickham3 described the percutaneous technique of antegrade pyelolysis.

Keywords

Renal Pelvis Ureteropelvic Junction Intracorporeal Suture Ureteropelvic Junction Obstruction Gonadal Vein 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer London 2011

Authors and Affiliations

  1. 1.Urology, Department of UrologyWake Forest Baptist Medical Centre, Wake Forest University Medical SchoolWinston-SalemUSA
  2. 2.Department of UrologyComprehensive Cancer Center, Institute for Regenerative Medicine, Robotics and Minimally Invasive Surgery, Baptist Medical Center, Wake Forest University School of Medicine, Wake Forest University Health SciencesWinston-SalemUSA

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