title: Robot-assisted laparoendoscopic single-site pyeloplasty: technique using the da Vinci Si robotic platform.
abstract: Conventional laparoscopic dismembered pyeloplasty (LP) is an established alternative to open pyeloplasty given equivalent intermediate-term outcomes and decreased morbidity. Laparoendoscopic single-site (LESS) pyeloplasty has the potential to further decrease the morbidity of LP, while yielding superior cosmesis. It is, however, technically very challenging even with the use of an accessory port, largely because of the difficulty of intracorporeal suturing through a single umbilical incision. Application of the da Vinci robotic surgical platform to LESS pyeloplasty (R-LESS) has the potential to overcome these limitations. We describe our technique for R-LESS pyeloplasty using the da Vinci Si robot. We have found that use of the robotic system in conjunction with certain technique modifications helps to reduce the technical difficulty of LESS pyeloplasty and to shorten the physical learning curve associated with the procedure.
authors.affiliation: Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9110, USA.
authors.forename: Casey A
authors.initials: CA
authors.lastname: Seideman
authors.forename: Yung K
authors.initials: YK
authors.lastname: Tan
authors.forename: Stephen
authors.initials: S
authors.lastname: Faddegon
authors.forename: Samuel K
authors.initials: SK
authors.lastname: Park
authors.forename: Sara L
authors.initials: SL
authors.lastname: Best
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Cadeddu
authors.forename: Ephrem O
authors.initials: EO
authors.lastname: Olweny
mesh_terms: D004210:Dissection; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D056888:Patient Positioning; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012371:Robotics / Q000295:instrumentation / Q000379:methods*