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Rapid communication: laparoscopic Anderson-Hynes dismembered pyeloplasty using the da Vinci robot: technical
Paulos Yohannes1, Sathyaprasad C Burjonrappa
1Department of Surgery (Urology), Creighton University, Omaha, Nebraska, USA. Pyohannes@hotmail.com
Purpose:
To present our initial experience with laparoscopic pyeloplasty utilizing the da Vinci robot for upper tract reconstruction.
Case Report:
A four-port transperitoneal approach was used in a 73-year-old man. The ureteropelvic (UPJ) obstruction was identified with a crossing vessel. After dismemberment of the UPJ, the renal pelvis was trimmed and reconstructed using the da Vinci robot. The total operative time was 5 hours; the time spent for reconstruction was 45 minutes. Blood loss was <150 mL. The postoperative analgesic requirement was 8 mg of morphine and 25 mg of hydrocodone. There were no intraoperative or postoperative complications.
Conclusion:
The da Vinci robot can serve as a vital surgical tool during pyeloplasty with extensive reconstruction.