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. 2023 Nov 29;19(852):2243-2246.
doi: 10.53738/REVMED.2023.19.852.2243.

[Robotic-assisted laparoscopic surgeries in functional and reconstructive urology]

[Article in French]
Affiliations

[Robotic-assisted laparoscopic surgeries in functional and reconstructive urology]

[Article in French]
Aliki Germanou et al. Rev Med Suisse. .

Abstract

The adoption of robotic-assisted laparoscopic surgery in urology is becoming increasingly frequent. Initially, its use was essentially limited to oncological surgery, such as radical prostatectomy. Its success lies in the enhanced dexterity, the three-dimensional vision, and the ability to easily suture intracorporeally. All these advantages have enabled many pioneer surgeons to develop techniques in the field of functional surgery, such as artificial urinary sphincter implantation and sacrocolpopexy, and as for reconstructive surgery, ureteral reconstructions and enterocystoplasties. This article provides a brief yet rich review of the recently innovated techniques and the now minimally invasive feasibility of previously highly complex procedures in conventional laparoscopy.

L’utilisation de l’assistance robotique en chirurgie laparoscopique est une pratique croissante en urologie, qui s’est généralisée notamment en oncologie. Son succès s’explique par une meilleure ergonomie, une meilleure vision et la capacité à suturer aisément en intracorporel. Ces avantages ont permis à plusieurs équipes de développer des techniques pour des indications de chirurgie fonctionnelle, notamment la pose de sphincter urinaire artificiel, la promontofixation, ainsi qu’en chirurgie reconstructive, par exemple pour les reconstructions urétérales et les entérocystoplasties d’agrandissement. Cet article propose un survol condensé des innovations techniques récentes et de la faisabilité désormais minimalement invasive d’interventions jusqu’à présent hautement complexes en laparoscopie conventionnelle.

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Conflict of interest statement

Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

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