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Review
. 2020 Nov 10:12:555-562.
doi: 10.2147/RRU.S238823. eCollection 2020.

Comparison of Safety, Efficacy and Outcomes of Robot Assisted Laparoscopic Pyeloplasty vs Conventional Laparoscopy

Guglielmo Mantica  1 , Francesca Ambrosini  1 , Stefano Parodi  1 , Stefano Tappero  1 , Carlo Terrone  1
Affiliations
Review

Comparison of Safety, Efficacy and Outcomes of Robot Assisted Laparoscopic Pyeloplasty vs Conventional Laparoscopy

Guglielmo Mantica et al. Res Rep Urol. .

Abstract

Pyeloplasty is considered the gold standard for the management of ureteropelvic junction obstruction in cases of flank pain, recurrent stone formation or infection, and deteriorating renal function. Over the last two decades, minimally invasive techniques such as robotic (RALP) and laparoscopic pyeloplasty (LP) have become increasingly popular and have been moderately replacing the open approach. This paper aims to provide a comprehensive up-to-date review on safety, efficacy and outcomes regarding robotic repair of UPJO compared to the conventional laparoscopic procedure. RALP represents a viable and innovative alternative to conventional LP with a comparable success and complication rate both in adult and in paediatric fields. The robotic approach seems to add further technical advantages when compared to conventional LP but sustains a higher costs. Currently, the choice to adopt one of the different minimally invasive approaches depends on the surgeon's preference or experience, and on institutional availability.

Keywords: hydronephrosis; laparoscopic pyeloplasty; pyeloplasty; robotic pyeloplasty; ureteropelvic junction obstruction.

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Conflict of interest statement

The authors report no conflicts of interest for this work.

Figures

Figure 1
Figure 1
Conventional laparoscopic pyeloplasty trocars’ placement.
Figure 2
Figure 2
Anderson-Hynes dismembered procedure: the renal pelvis is circumferentially transacted above the UPJO.
Figure 3
Figure 3
Robotic pyeloplasty trocars’ placement.
See this image and copyright information in PMC

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