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Outcomes of robotic‐assisted laparoscopic upper urinary tract reconstruction: 250 consecutive patients
Author(s) -
Marien Tracy,
Bjurlin Marc A.,
Wynia Blake,
Bilbily Matthew,
Rao Gaurav,
Zhao Lee C.,
Shah Ojas,
Stifelman Michael D.
Publication year - 2015
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.13086
Subject(s) - medicine , ureterolysis , surgery , pyeloplasty , upper urinary tract , radiography , complication , urinary system , hydronephrosis
Objective To evaluate the long‐term outcomes of robotic‐assisted laparoscopic ( RAL ) upper urinary tract ( UUT ) reconstruction performed at a tertiary referral centre. Materials and 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. Conclusion 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.