Robot-assisted laparoendoscopic single-site pyeloplasty: Technique using the da Vinci Si robotic platform

Casey A. Seideman, Yung K. Tan, Stephen Faddegon, Samuel K. Park, Sara L. Best, Jeffrey A Cadeddu, Ephrem O. Olweny

Research output: Contribution to journalArticle

18 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)971-974
Number of pages4
JournalJournal of Endourology
Volume26
Issue number8
DOIs
StatePublished - Aug 1 2012

ASJC Scopus subject areas

  • Urology

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