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Robot-assisted laparoscopic pyeloplasty in infants using 5-mm instruments
Henry J Paradise1, Gene O Huang2, Rodolfo A Elizondo Sáenz2
1Department of Surgery, Division of Pediatric Urology, Texas Children's Hospital, Houston, TX, USA; Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA; Rice University, Houston, TX, USA.
Journal of Pediatric Urology
|February 4, 2017
Summary
This study shows that using the smallest available robotic instruments for infant pyeloplasty is safe and effective. Robotic-assisted surgery offers a high success rate for treating young children with this condition.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic pyeloplasty adoption in infants is limited due to small operative spaces and large instruments.
- Pediatric urology is increasingly utilizing robotic approaches for reconstructive procedures.
Purpose of the Study:
- To demonstrate the technique for infant robotic pyeloplasty using the smallest available instruments.
- To evaluate the feasibility and outcomes of robotic pyeloplasty in infants.
Main Methods:
- Demonstration of key surgical steps for infant robotic pyeloplasty.
- Utilized the smallest available 5-mm instruments for the da Vinci S and Si surgical systems.
- Performed 20 robot-assisted laparoscopic pyeloplasties in infants aged 2-9 months.
Main Results:
- Average operative time was 2 hours and 28 minutes.
- No conversions to open surgery were required.
- Successful treatment in 95% of cases.
Conclusions:
- Robot-assisted laparoscopic pyeloplasty with 5-mm instruments is a viable and successful option for infants.
- Achieved a 95% treatment success rate with a mean follow-up of 8.3 months.
- This technique overcomes previous limitations in performing robotic surgery in neonates and infants.
