Single port robot‐assisted pyeloplasty: An early comparative outcomes analysis-Reference-Cited by-同舟云学术

Single port robot‐assisted pyeloplasty: An early comparative outcomes analysis

Published:2024-02 Issue:1 Volume:20 Page:
ISSN:1478-5951
Container-title:The International Journal of Medical Robotics and Computer Assisted Surgery
language:en
Short-container-title:Robotics Computer Surgery

Author:

Ditonno Francesco¹²^ORCID,Franco Antonio¹³,Manfredi Celeste¹⁴,Feng Carol L.¹^ORCID,Bologna Eugenio¹⁵,Licari Leslie Claire¹⁵,Olweny Ephrem O.¹,Vourganti Srinivas¹,Cherullo Edward E.¹,Chow Alexander K.¹,Autorino Riccardo¹^ORCID

Affiliation:

1. Department of Urology Rush University Medical Center Chicago Illinois USA

2. Department of Urology University of Verona Verona Italy

3. Department of Urology Sant'Andrea Hospital La Sapienza University Rome Italy

4. Department of Woman, Child and General and Specialized Surgery Urology Unit “Luigi Vanvitelli” University Naples Italy

5. Department of Maternal‐Child and Urological Sciences Urology Unit “Sapienza” University of Rome Policlinico Umberto I Hospital Rome Italy

Abstract

AbstractBackgroundThe treatment paradigm for ureteropelvic junction obstruction (UPJO) has shifted towards minimally invasive pyeloplasty. A comparison Single Port (SP) and Multi Port (MP) robot‐assisted pyeloplasty (RAP) was performed.MethodsData from consecutive patients undergoing SP RAP or MP RAP between January 2021 and September 2023 were collected and analysed. Co‐primary outcomes were length of stay (LOS), Defense and Veterans Pain Rating Scale (DVPRS), and narcotic dose. The choice of the robotic system depended on the surgeon's preference and availability of a specific robotic platform.ResultsA total of 10 SP RAPs and 12 MP RAPs were identified. SP RAP patients were significantly younger [23 years (20–34)] than MP RAP [42 years (35.5–47.5), p < 0.01]. No difference in terms of OT (p = 0.6), LOS (p = 0.1), DVPRS (p = 0.2) and narcotic dose (p = 0.1) between the two groups was observed.ConclusionsSP RAP can be implemented without compromising surgical outcomes and potentially offering some clinical advantages.

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/rcs.2622

Reference22 articles.

1. Laparoendoscopic Single-site Pyeloplasty: Outcomes of an International Multi-institutional Study of 140 Patients

2. Robot-assisted and Laparoscopic Repair of Ureteropelvic Junction Obstruction: A Systematic Review and Meta-analysis

3. Feasibility and Preliminary Clinical Outcomes of Robotic Laparoendoscopic Single-Site (R-LESS) Pyeloplasty Using a New Single-Port Platform