Cargando…
Pure single-site robot-assisted pyeloplasty with the da Vinci SP surgical system: Initial experience
PURPOSE: Laparoendoscopic single-site surgery (LESS) reduces the limited invasiveness of conventional laparoscopy while providing superior cosmetic results. However, LESS remains a challenging surgical technique, even in robotic surgery, primarily due to the lack of triangulation and limited instrum...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Urological Association
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6607072/ https://www.ncbi.nlm.nih.gov/pubmed/31294143 http://dx.doi.org/10.4111/icu.2019.60.4.326 |
_version_ | 1783432021232582656 |
---|---|
author | Heo, Ji Eun Kang, Sung Ku Koh, Dong Hoon Na, Joon Chae Lee, Yong Seung Han, Woong Kyu Choi, Young Deuk Jang, Won Sik |
author_facet | Heo, Ji Eun Kang, Sung Ku Koh, Dong Hoon Na, Joon Chae Lee, Yong Seung Han, Woong Kyu Choi, Young Deuk Jang, Won Sik |
author_sort | Heo, Ji Eun |
collection | PubMed |
description | PURPOSE: Laparoendoscopic single-site surgery (LESS) reduces the limited invasiveness of conventional laparoscopy while providing superior cosmetic results. However, LESS remains a challenging surgical technique, even in robotic surgery, primarily due to the lack of triangulation and limited instrument movement. The da Vinci SP surgical system (Intuitive Surgical) was recently introduced to overcome these limitations. We describe our initial experience with pure single-site robot-assisted pyeloplasty (RAP) for ureteropelvic junction obstruction (UPJO) using the da Vinci SP surgical system. MATERIALS AND METHODS: Three consecutive patients who were diagnosed with UPJO underwent RAP with the da Vinci SP surgical system from December 2018 to February 2019 at our institution. The surgical technique involved reproducing the steps of multi-port RAP. A 30-mm umbilical incision was made and the GelPOINT was inserted. The multichannel robotic port and the assistant's port were placed through the GelSeal cap. In all patients, Anderson–Hynes dismembered pyeloplasty was performed. The ureteral double J stent was inserted antegrade, and the drain was not placed. RESULTS: The procedures were successfully completed using a pure single-site approach. There was no need for additional port placement or conversion to laparoscopic or open surgery. Total operative time in the three patients was 139, 180, and 213 minutes, respectively. No intraoperative complications occurred, and blood loss was minimal. The postoperative course of all patients was uneventful with no complications greater than Clavien–Dindo grade I surgical complications. CONCLUSIONS: Pure single-site RAP using the da Vinci SP surgical system is feasible and safe. |
format | Online Article Text |
id | pubmed-6607072 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The Korean Urological Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-66070722019-07-10 Pure single-site robot-assisted pyeloplasty with the da Vinci SP surgical system: Initial experience Heo, Ji Eun Kang, Sung Ku Koh, Dong Hoon Na, Joon Chae Lee, Yong Seung Han, Woong Kyu Choi, Young Deuk Jang, Won Sik Investig Clin Urol Innovations in Urology PURPOSE: Laparoendoscopic single-site surgery (LESS) reduces the limited invasiveness of conventional laparoscopy while providing superior cosmetic results. However, LESS remains a challenging surgical technique, even in robotic surgery, primarily due to the lack of triangulation and limited instrument movement. The da Vinci SP surgical system (Intuitive Surgical) was recently introduced to overcome these limitations. We describe our initial experience with pure single-site robot-assisted pyeloplasty (RAP) for ureteropelvic junction obstruction (UPJO) using the da Vinci SP surgical system. MATERIALS AND METHODS: Three consecutive patients who were diagnosed with UPJO underwent RAP with the da Vinci SP surgical system from December 2018 to February 2019 at our institution. The surgical technique involved reproducing the steps of multi-port RAP. A 30-mm umbilical incision was made and the GelPOINT was inserted. The multichannel robotic port and the assistant's port were placed through the GelSeal cap. In all patients, Anderson–Hynes dismembered pyeloplasty was performed. The ureteral double J stent was inserted antegrade, and the drain was not placed. RESULTS: The procedures were successfully completed using a pure single-site approach. There was no need for additional port placement or conversion to laparoscopic or open surgery. Total operative time in the three patients was 139, 180, and 213 minutes, respectively. No intraoperative complications occurred, and blood loss was minimal. The postoperative course of all patients was uneventful with no complications greater than Clavien–Dindo grade I surgical complications. CONCLUSIONS: Pure single-site RAP using the da Vinci SP surgical system is feasible and safe. The Korean Urological Association 2019-07 2019-06-25 /pmc/articles/PMC6607072/ /pubmed/31294143 http://dx.doi.org/10.4111/icu.2019.60.4.326 Text en © The Korean Urological Association, 2019 http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Innovations in Urology Heo, Ji Eun Kang, Sung Ku Koh, Dong Hoon Na, Joon Chae Lee, Yong Seung Han, Woong Kyu Choi, Young Deuk Jang, Won Sik Pure single-site robot-assisted pyeloplasty with the da Vinci SP surgical system: Initial experience |
title | Pure single-site robot-assisted pyeloplasty with the da Vinci SP surgical system: Initial experience |
title_full | Pure single-site robot-assisted pyeloplasty with the da Vinci SP surgical system: Initial experience |
title_fullStr | Pure single-site robot-assisted pyeloplasty with the da Vinci SP surgical system: Initial experience |
title_full_unstemmed | Pure single-site robot-assisted pyeloplasty with the da Vinci SP surgical system: Initial experience |
title_short | Pure single-site robot-assisted pyeloplasty with the da Vinci SP surgical system: Initial experience |
title_sort | pure single-site robot-assisted pyeloplasty with the da vinci sp surgical system: initial experience |
topic | Innovations in Urology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6607072/ https://www.ncbi.nlm.nih.gov/pubmed/31294143 http://dx.doi.org/10.4111/icu.2019.60.4.326 |
work_keys_str_mv | AT heojieun puresinglesiterobotassistedpyeloplastywiththedavincispsurgicalsysteminitialexperience AT kangsungku puresinglesiterobotassistedpyeloplastywiththedavincispsurgicalsysteminitialexperience AT kohdonghoon puresinglesiterobotassistedpyeloplastywiththedavincispsurgicalsysteminitialexperience AT najoonchae puresinglesiterobotassistedpyeloplastywiththedavincispsurgicalsysteminitialexperience AT leeyongseung puresinglesiterobotassistedpyeloplastywiththedavincispsurgicalsysteminitialexperience AT hanwoongkyu puresinglesiterobotassistedpyeloplastywiththedavincispsurgicalsysteminitialexperience AT choiyoungdeuk puresinglesiterobotassistedpyeloplastywiththedavincispsurgicalsysteminitialexperience AT jangwonsik puresinglesiterobotassistedpyeloplastywiththedavincispsurgicalsysteminitialexperience |