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Salvage minimally invasive robotic and laparoscopic pyeloplasty in adults: a systematic review

INTRODUCTION: A UPJO is a blockage of the ureter that affects urine flow. UPJO is mainly treated by an open approach, however, in recent years minimally invasive techniques are taking place. These techniques include robotic and laparoscopic pyeloplasty. Some patients require a redo after a primary i...

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Autores principales: Elaarag, Mai, Alashi, Hind, Aldeeb, Maya, Khalil, Ibrahim, Al-Qudimat, Ahmad R., Mansour, Abdelhamed, Al-Ansari, Abdulla A, Aboumarzouk, Omar M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639492/
https://www.ncbi.nlm.nih.gov/pubmed/36353474
http://dx.doi.org/10.1080/2090598X.2022.2082208
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author Elaarag, Mai
Alashi, Hind
Aldeeb, Maya
Khalil, Ibrahim
Al-Qudimat, Ahmad R.
Mansour, Abdelhamed
Al-Ansari, Abdulla A
Aboumarzouk, Omar M.
author_facet Elaarag, Mai
Alashi, Hind
Aldeeb, Maya
Khalil, Ibrahim
Al-Qudimat, Ahmad R.
Mansour, Abdelhamed
Al-Ansari, Abdulla A
Aboumarzouk, Omar M.
author_sort Elaarag, Mai
collection PubMed
description INTRODUCTION: A UPJO is a blockage of the ureter that affects urine flow. UPJO is mainly treated by an open approach, however, in recent years minimally invasive techniques are taking place. These techniques include robotic and laparoscopic pyeloplasty. Some patients require a redo after a primary intervention. A systematic review was conducted through the examinations of the efficacy and safety of a robotic redo pyeloplasty in adult patients from previous literature reviews. METHODS: A literature search was made through PubMed. A selection process was done based on our eligibility criteria. The data were represented numerically, listed on tables and analyzed cumulatively using Microsoft Excel. RESULTS: Twenty studies were included in this review, of which nine were studies on robotic outcomes () (157 patients), 10 on laparoscopic (210 patients), and one review by Zhang et al., focused on both types of surgeries. Two papers (24 patients) from the robotic studies and one paper (21 patients) from the laparoscopic studies were excluded from the intra and post-operative characteristics because not enough data were available and were only included for the success and complication rates. The success rate for the robotic studies was 88.5% while the laparoscopic studies had a success rate of 91%. However, the robotic studies had a complication rate of (11.8%) while the laparoscopic studies had a complication rate of (15.9%). Conversion surgery was required in one patient undergoing laparoscopic surgery. CONCLUSION: The minimally invasive methods are becoming more viable in adult patients with rUPJO, considering its effectiveness and fast recovery. This can lead to a new era of robotic assisted surgeries to becoming the gold standard. Abbreviations: Systematic review: Redo robotic and laparoscopic pyeloplasty in adults; UPJO = Ureteropelvic junction obstruction; rUPJO = redo ureteropelvic junction obstruction.
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spelling pubmed-96394922022-11-08 Salvage minimally invasive robotic and laparoscopic pyeloplasty in adults: a systematic review Elaarag, Mai Alashi, Hind Aldeeb, Maya Khalil, Ibrahim Al-Qudimat, Ahmad R. Mansour, Abdelhamed Al-Ansari, Abdulla A Aboumarzouk, Omar M. Arab J Urol Laparoscopy/Robotics INTRODUCTION: A UPJO is a blockage of the ureter that affects urine flow. UPJO is mainly treated by an open approach, however, in recent years minimally invasive techniques are taking place. These techniques include robotic and laparoscopic pyeloplasty. Some patients require a redo after a primary intervention. A systematic review was conducted through the examinations of the efficacy and safety of a robotic redo pyeloplasty in adult patients from previous literature reviews. METHODS: A literature search was made through PubMed. A selection process was done based on our eligibility criteria. The data were represented numerically, listed on tables and analyzed cumulatively using Microsoft Excel. RESULTS: Twenty studies were included in this review, of which nine were studies on robotic outcomes () (157 patients), 10 on laparoscopic (210 patients), and one review by Zhang et al., focused on both types of surgeries. Two papers (24 patients) from the robotic studies and one paper (21 patients) from the laparoscopic studies were excluded from the intra and post-operative characteristics because not enough data were available and were only included for the success and complication rates. The success rate for the robotic studies was 88.5% while the laparoscopic studies had a success rate of 91%. However, the robotic studies had a complication rate of (11.8%) while the laparoscopic studies had a complication rate of (15.9%). Conversion surgery was required in one patient undergoing laparoscopic surgery. CONCLUSION: The minimally invasive methods are becoming more viable in adult patients with rUPJO, considering its effectiveness and fast recovery. This can lead to a new era of robotic assisted surgeries to becoming the gold standard. Abbreviations: Systematic review: Redo robotic and laparoscopic pyeloplasty in adults; UPJO = Ureteropelvic junction obstruction; rUPJO = redo ureteropelvic junction obstruction. Taylor & Francis 2022-06-28 /pmc/articles/PMC9639492/ /pubmed/36353474 http://dx.doi.org/10.1080/2090598X.2022.2082208 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Laparoscopy/Robotics
Elaarag, Mai
Alashi, Hind
Aldeeb, Maya
Khalil, Ibrahim
Al-Qudimat, Ahmad R.
Mansour, Abdelhamed
Al-Ansari, Abdulla A
Aboumarzouk, Omar M.
Salvage minimally invasive robotic and laparoscopic pyeloplasty in adults: a systematic review
title Salvage minimally invasive robotic and laparoscopic pyeloplasty in adults: a systematic review
title_full Salvage minimally invasive robotic and laparoscopic pyeloplasty in adults: a systematic review
title_fullStr Salvage minimally invasive robotic and laparoscopic pyeloplasty in adults: a systematic review
title_full_unstemmed Salvage minimally invasive robotic and laparoscopic pyeloplasty in adults: a systematic review
title_short Salvage minimally invasive robotic and laparoscopic pyeloplasty in adults: a systematic review
title_sort salvage minimally invasive robotic and laparoscopic pyeloplasty in adults: a systematic review
topic Laparoscopy/Robotics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639492/
https://www.ncbi.nlm.nih.gov/pubmed/36353474
http://dx.doi.org/10.1080/2090598X.2022.2082208
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