Laparoscopic Anderson-Hynes dismembered pyeloplasty using the da Vinci™ robot: Technical considerations

Paulos Yohannes, Sathyaprasad C. Burjonrappa

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Abstract

Purpose: To present our initial experience with laparoscopic pyeloplasty utilizing the da Vinci™ robot for upper tract reconstruction. Case Report: A four-port transperitoneal approach was used in a 73-year-old man. The ureteropelvic (UPJ) obstruction was identified with a crossing vessel. After dismemberment of the UPJ, the renal pelvis was trimmed and reconstructed using the da Vinci robot. The total operative time was 5 hours; the time spent for reconstruction was 45 minutes. Blood loss was <150 mL. The postoperative analgesic requirement was 8 mg of morphine and 25 mg of hydrocodone. There were no intraoperative or postoperative complications. Conclusion: The da Vinci robot can serve as a vital surgical tool during pyeloplasty with extensive reconstruction.

Original languageEnglish (US)
Pages (from-to)79-83
Number of pages5
JournalJournal of Endourology
Volume17
Issue number2
DOIs
Publication statusPublished - Mar 2003

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ASJC Scopus subject areas

  • Urology

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