title: Outcomes of robotic-assisted laparoscopic upper urinary tract reconstruction: 250 consecutive patients.
abstract: OBJECTIVE
  To evaluate the long-term outcomes of robotic-assisted laparoscopic (RAL) upper urinary tract (UUT) reconstruction performed at a tertiary referral centre.
  
  
  METHODS
  Data from 250 consecutive patients undergoing RAL UUT reconstruction, including pyeloplasty with or without stone extraction, ureterolysis, uretero-ureterostomy, ureterocalicostomy, ureteropyelostomy, ureteric reimplantation and buccal mucosa graft ureteroplasty, were collected at a tertiary referral centre between March 2003 and December 2013. The primary outcomes were symptomatic and radiographic improvement of obstruction and complication rate. The mean follow-up was 17.1 months.
  
  
  RESULTS
  Radiographic and symptomatic success rates ranged from 85% to 100% for each procedure, with a 98% radiographic success rate and 97% symptomatic success rate for the entire series. There were a total of 34 complications, none greater than Clavien grade 3.
  
  
  CONCLUSIONS
  Robotic-assisted laparoscopic UUT can be performed with few complications, with durable long-term success, and is a reasonable alternative to the open procedure in experienced robotic surgeons.
authors: Department of Urology, NYU Langone Medical Center, New York, NY, USA.
authors: Tracy
authors: T
authors: Marien
authors: Department of Urology, NYU Langone Medical Center, New York, NY, USA.
authors: Marc A
authors: MA
authors: Bjurlin
authors: Department of Urology, NYU Langone Medical Center, New York, NY, USA.
authors: Blake
authors: B
authors: Wynia
authors: Department of Urology, NYU Langone Medical Center, New York, NY, USA.
authors: Matthew
authors: M
authors: Bilbily
authors: University at Buffalo School of Medicine, Buffalo, NY, USA.
authors: Gaurav
authors: G
authors: Rao
authors: Department of Urology, NYU Langone Medical Center, New York, NY, USA.
authors: Lee C
authors: LC
authors: Zhao
authors: Department of Urology, NYU Langone Medical Center, New York, NY, USA.
authors: Ojas
authors: O
authors: Shah
authors: Department of Urology, NYU Langone Medical Center, New York, NY, USA.
authors: Michael D
authors: MD
authors: Stifelman
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods*; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000009:adverse effects* / Q000379:methods*; D016896:Treatment Outcome; D014551:Urinary Tract / Q000601:surgery*
keywords: reconstruction; robotic-assisted laparoscopy; upper urinary tract