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How I do it: 3-Suture robotic pyeloplasty: Step-by-step technique
Alessandro Morlacco1, Filippo Carletti1, Elisa Tonet1
1UOC Urologia Pediatrica, Azienda Ospedale Università Padova, Padova, Italy; Urology Clinic, Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
None:
Robot-assisted pyeloplasty is now a gold standard in the treatment of pediatric ureteropelvic junction obstruction. We describe a standardized "3-suture" technique designed to facilitate the pyelo-ureteral anastomosis. We used this technique in 65 paediatric patients aged 3-17 years. Early major complications (Clavien-Dindo grade III) occurred in 3 patients (4.6%). The median operative time was 150 min. Surgical success was achieved in 96% of cases at a median follow-up of 9.5 months. This 3-suture approach offers a highly reproducible method for robotic pyeloplasty, facilitating accurate anatomical reconstruction with excellent surgical outcomes.
