Rapid communication: laparoscopic Anderson-Hynes dismembered pyeloplasty using the da Vinci robot: technical considerations.
OBJECTIVE
To present our initial experience with laparoscopic pyeloplasty utilizing the da Vinci robot for upper tract reconstruction.


METHODS
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.


CONCLUSIONS
The da Vinci robot can serve as a vital surgical tool during pyeloplasty with extensive reconstruction.
Yohannes
Paulos
P
Department of Surgery (Urology), Creighton University, Omaha, Nebraska, USA. Pyohannes@hotmail.com
Burjonrappa
Sathyaprasad C
SC
D000368:Aged; D016063:Blood Loss, Surgical; D006801:Humans; D007682:Kidney Pelvis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D010149:Postoperative Pain; D011859:Radiography; D012371:Robotics; D014513:Ureter / Q000601:surgery; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*