2017, Number 1
Rev Mex Urol 2017; 77 (1)
Robotic-assisted laparoscopic dismembered ureteropyeloplasty
González-Serrano A, Cortez-Betancourt R, Alías-Melgar A, Carreño-De la Rosa F, Botello-Gómez PJ, Trujillo-Vázquez EI, Ordoñez-Campos E, Rodríguez-Alvarado RC
Language: Spanish
References: 10
Page: 78-84
PDF size: 268.67 Kb.
ABSTRACT
Background: In 63% of the patients with ureteropelvic junction obstruction, there is a so-called “aberrant” vessel that crosses in front of the ureter, reducing its lumen. These vessels are anatomic variants of vessels arising from the abdominal aorta and the renal artery.Clinical case: A 26-year-old woman had a past history of high blood pressure of one-year progression, pain in the right renal fossa, and recurrent urinary infections. A computed tomography urogram identified right hydronephrosis and an aberrant vessel at the level of the ureteropelvic junction on the right side. A kidney scintigram with a diuretic revealed an obstructive curve in the right kidney unit. Robotic-assisted dismembered ureteropyeloplasty was performed with no complications, using the da Vinci® Surgical System. Surgery duration was 110 min. The patient was released from the hospital on the second postoperative day. The double-J catheter was removed after six weeks and a repeat scintigram was carried out one month after catheter removal.
Conclusion: Robotic-assisted ureteropyeloplasty is a safe and effective minimally invasive method for correcting ureteropelvic junction obstruction.
REFERENCES
Braga LH, Pace K, DeMaría J, et al. Systematic Review and Meta-Analysis of Robotic-Assisted versus Conventional Laparoscopic Pyeloplasty for Patients with Ureteropelvic Junction Obstruction: Effect on Operative Time, Length of Hospital Stay, Postoperative Complications, and .Success Rate. European Urology 2009; 56: 848-858.