학술논문
Outcomes of robotic-assisted laparoscopic upper urinary tract reconstruction: 250 consecutive patients.
Document Type
Article
Author
Source
Subject
*URINARY tract infections
*RADIOGRAPHIC processing
*SURGICAL robots
*LAPAROSCOPIC surgery
*BLOOD loss estimation
*DISEASE risk factors
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Language
ISSN
1464-4096
Abstract
Objective To evaluate the long-term outcomes of robotic-assisted laparoscopic ( RAL) upper urinary tract ( UUT) reconstruction performed at a tertiary referral centre. Materials and Methods Data from 250 consecutive patients undergoing RAL UUT reconstruction, including pyeloplasty with or without stone extraction, ureterolysis, uretero-ureterostomy, ureterocalicostomy, ureteropyelostomy, ureteric reimplantation and buccal mucosa graft ureteroplasty, were collected at a tertiary referral centre between March 2003 and December 2013. The primary outcomes were symptomatic and radiographic improvement of obstruction and complication rate. The mean follow-up was 17.1 months. Results Radiographic and symptomatic success rates ranged from 85% to 100% for each procedure, with a 98% radiographic success rate and 97% symptomatic success rate for the entire series. There were a total of 34 complications, none greater than Clavien grade 3. Conclusion Robotic-assisted laparoscopic UUT can be performed with few complications, with durable long-term success, and is a reasonable alternative to the open procedure in experienced robotic surgeons. [ABSTRACT FROM AUTHOR]