Current Status of Robotic-Assisted Pyeloplasty in the Adult

  • Ravi Munver
  • Jennifer K. Yates
  • Michael Ferrandino
  • David M. Albala


Surgical management of ureteropelvic junction obstruction (UPJO) has evolved from the standard open surgical repair to include a variety of minimally invasive options. Selection of the most appropriate techniques is based on patient anatomy, etiology of the obstruction, prior procedures, as well as patient and surgeon preferences.


Robotic-assisted pyeloplasty Ure­teropelvic junction obstruction 


  1. 1.
    Schuessler WW, Grune MT, Tecuanhuey LV, et al. Laparoscopic dismembered pyeloplasty. J Urol. 1993;150:1795-1798.PubMedGoogle Scholar
  2. 2.
    Bauer JJ, Bishoff JT, Moore RG, et al. Laparoscopic versus open pyeloplasty: assessment of objective and subjective outcome. J Urol. 1999;162:692-695.PubMedCrossRefGoogle Scholar
  3. 3.
    Sung GT, Gill IS, Hsu TH. Robotic-assisted laparoscopic pyeloplasty: a pilot study. Urology. 1999;53:1099-1103.PubMedCrossRefGoogle Scholar
  4. 4.
    Patel RP, Casale P. Robotic pediatric urology. Minerva Urol Nefrol. 2007;59:425-430.PubMedGoogle Scholar
  5. 5.
    Motola JA, Badlani GH, Smith AD. Results of 221 consecutive endopyelotomies: an 8-year follow-up. J Urol. 1993;149:453-456.PubMedGoogle Scholar
  6. 6.
    Nadler RB, Rao GS, Pearle MS, Nakada SY, Clayman RV. Acucise endopyelotomy: assessment of long-term durability. J Urol. 1996;156:1094-1097.PubMedCrossRefGoogle Scholar
  7. 7.
    Feder MT, Blitstein J, Mason B, et al. Predicting ­differential renal function using computerized tomography measurements of renal parenchymal area. J Urol. 2008;180:2110-2114.PubMedCrossRefGoogle Scholar
  8. 8.
    Goldfarb CR, Srivastava NC, Grotas AB, et al. Radionuclide imaging in urology. Urol Clin North Am. 2006;33:319-323.PubMedCrossRefGoogle Scholar
  9. 9.
    Roarke MC, Sandler CM. Provocative imaging. Diuretic renography. Urol Clin North Am. 1998;25:227-232.PubMedCrossRefGoogle Scholar
  10. 10.
    Whitaker RH. Methods of assessing obstruction in dilated ureters. Br J Urol. 1973;45:15-19.PubMedGoogle Scholar
  11. 11.
    Kaouk JH, Hafron J, Parekattil S, et al. Is retroperitoneal approach feasible for robotic dismembered pyeloplasty: initial experience and long-term results. J Endourol. 2008;22:2153-2157.PubMedCrossRefGoogle Scholar
  12. 12.
    Canes D, Berger A, Gettman MT, et al. Minimally invasive approaches to ureteropelvic junction obstruction. Urol Clin North Am. 2008;35:425-430.PubMedCrossRefGoogle Scholar
  13. 13.
    Palese MA, Stifelman MD, Munver R, et al. Robot-assisted laparoscopic dismembered pyeloplasty: a combined experience. J Endourol. 2005;19:382-386.PubMedCrossRefGoogle Scholar
  14. 14.
    Schwentner C, Pelzer A, Neururer R, et al. Robotic Anderson-Hynes pyeloplasty: 5-year experience of one centre. BJU Int. 2007;100:880-884.PubMedCrossRefGoogle Scholar
  15. 15.
    Peschel R, Neururer R, Bartsch G, et al. Robotic pyeloplasty: technique and results. Urol Clin North Am. 2004;31:737-741.PubMedCrossRefGoogle Scholar
  16. 16.
    Gettman MT, Neururer R, Bartsch G, et al. Anderson-Hynes dismembered pyeloplasty performed using the da Vinci robotic system. Urology. 2002;60:509-515.PubMedCrossRefGoogle Scholar
  17. 17.
    Nakada SY, McDougall EM, Clayman RV. Laparo­scopic pyeloplasty for secondary ureteropelvic junction obstruction: preliminary experience. Urology. 1995;46:257-260.PubMedCrossRefGoogle Scholar
  18. 18.
    Nayyar R, Gupta NP, Hemal AK. Robotic management of complicated ureteropelvic junction obstruction. World J Urol. 2009;28(5):599-602.PubMedCrossRefGoogle Scholar
  19. 19.
    Wayment RO, Waller CJ, Kramer BA, Schwartz BF. Intraoperative cystoscopic stent placement in robotic-assisted pyeloplasty: a novel and efficient technique. J Endourol. 2009;23:583-586.PubMedCrossRefGoogle Scholar
  20. 20.
    Koauk JH, Kuang W, Gill IS. Laparoscopic dismembered tabularized flap pyeloplasty: a novel technique. J Urol. 2002;167:229-231.CrossRefGoogle Scholar
  21. 21.
    Peters CA, Schlussel RN, Retik AB. Pediatric laparoscopic dismembered pyeloplasty. J Urol. 1995;153:1962-1965.PubMedCrossRefGoogle Scholar
  22. 22.
    Janetschek G, Peschel R, Altarac S, Bartsch G. Laparoscopic and retroperitoneoscopic repair of ureteropelvic junction obstruction. Urology. 1996;47:311-316.PubMedCrossRefGoogle Scholar
  23. 23.
    Mendez-Torres F, Woods M, Thomas R. Technical modifications for robot-assisted laparoscopic pyeloplasty. J Endourol. 2005;19:393-397.PubMedCrossRefGoogle Scholar
  24. 24.
    Mufarrij PW, Woods M, Shah OD, et al. Robotic dismembered pyeloplasty: a 6-year, multi-institutional experience. J Urol. 2008;180:1391-1396.PubMedCrossRefGoogle Scholar
  25. 25.
    Bentas W, Wolfram M, Brautigam R, et al. Da Vinci robot assisted Anderson-Hynes dismembered pyeloplasty: technique and 1 year follow-up. World J Urol. 2003;21:133-138.PubMedCrossRefGoogle Scholar
  26. 26.
    Siddiq FM, Leveillee RJ, Villicana P, et al. Computer-assisted laparoscopic pyeloplasty: University of Miami experience with the daVinci surgical system. J Endourol. 2005;19:387-392.PubMedCrossRefGoogle Scholar
  27. 27.
    Patel V. Robotic-assisted laparoscopic dismembered pyeloplasty. Urology. 2005;66:45-49.PubMedCrossRefGoogle Scholar
  28. 28.
    Yanke BV, Lallas CD, Pagnani C, et al. The minimally invasive treatment of ureteropelvic junction obstruction: a review of our experience during the last decade. J Urol. 2008;180:1397-1402.PubMedCrossRefGoogle Scholar
  29. 29.
    Atug F, Castle EP, Burgess SV, et al. Concomitant management of renal calculi and pelvi-ureteric junction obstruction with robotic laparoscopic surgery. BJU Int. 2005;96:1365-1369.PubMedCrossRefGoogle Scholar
  30. 30.
    Chammas M Jr, Feuillu B, Coissard A, et al. Laparo­scopic robotic-assisted management of pelvi-ureteric junction obstruction in patients with horseshoe kidneys: technique and 1-year follow-up. BJU Int. 2006;97:579-583.PubMedCrossRefGoogle Scholar
  31. 31.
    Pe ML, Sterious SN, Liu JB, et al. Robotic dismembered pyeloplasty in a horseshoe kidney after failed endopyelotomy. JSLS. 2008;12:210-214.PubMedGoogle Scholar
  32. 32.
    Olsen LH, Rawashdeh YF, Jorgensen TM. Pediatric robot assisted retroperitoneoscopic pyeloplasty: a 5-year experience. J Urol. 2007;178:2137-2140.PubMedCrossRefGoogle Scholar
  33. 33.
    Huber G, Crouzet S, Kamoi K, et al. Robotic NOTES (Natural Orifice Transluminal Endoscopic Surgery) in reconstructive urology: initial laboratory experience. Urology. 2008;71:996-1000.CrossRefGoogle Scholar
  34. 34.
    Kaouk JH, Goel RK, Haber GP, Crouzet S, Stein RJ. Robotic single-port transumbilical surgery in humans: initial report. BJU Int. 2008;103:336-339.Google Scholar
  35. 35.
    Link RE, Bhayani SB, Kavoussi LR. A prospective comparison of robotic and laparoscopic pyelo­plasty. Ann Surg. 2006;243:486-491.PubMedCrossRefGoogle Scholar
  36. 36.
    Janetschek G, Preshel R, Bartsch G. Laparoscopic Fenger plasty. J Endourol. 2000;14:889-893.PubMedCrossRefGoogle Scholar
  37. 37.
    Soulie M, Salomon L, Patard JJ, et al. Extraperitoneal laparoscopic pyeloplasty: a multicenter study of 55 procedures. J Urol. 2001;166:48-50.PubMedCrossRefGoogle Scholar
  38. 38.
    Mandhani A, Kumar D, Kumar A, et al. Safety profile and complications of transperitoneal laparoscopic pyeloplasty: a critical analysis. J Endourol. 2005;17:797-802.CrossRefGoogle Scholar
  39. 39.
    Inagaki T, Rha KH, Ong AM, Kavoussi LR, Jarrett TW. Laparoscopic pyeloplasty: current status. BJU Int. 2005;96(suppl 2):102-105.CrossRefGoogle Scholar
  40. 40.
    Moon DA, El-Shazly MA, Chang M, Gianduzzo TR, Eden CG. Laparoscopic pyeloplasty: evolution of a new gold standard. Urology. 2006;67:932-936.PubMedCrossRefGoogle Scholar
  41. 41.
    Symons SJ, Bhirud PS, Jain V, Shetty AS, Desai MR. Laparoscopic pyeloplasty: our new gold standard. J Endourol. 2009;23(3):463-467.PubMedCrossRefGoogle Scholar
  42. 42.
    Weise ES, Winfield HN. Robotic computer-assisted pyeloplasty versus conventional laparoscopic pyeloplasty. J Endourol. 2006;20:813-819.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Ravi Munver
    • 1
  • Jennifer K. Yates
    • 1
  • Michael Ferrandino
    • 2
  • David M. Albala
    • 2
  1. 1.Minimally Invasive & Robotic Urologic Surgery Department of UrologyHackensack University Medical CenterHackensackUSA
  2. 2.Department of UrologyDuke University Medical CenterDurhamUSA

Personalised recommendations