Summary
Introduction
The da Vinci SP® Robotic Surgical Platform (Intuitive Surgical) was recently introduced
to overcome triangulation and motion restriction during laparoendoscopic single-site
surgery. The authors describe a pure, single-site, robot-assisted, laparoscopic pyeloplasty
(RALP) using the da Vinci SP System in a pediatric patient.
Material and methods
A 10-year-old patient with ureteropelvic junction obstruction underwent pyeloplasty
conducted using the da Vinci SP® System. Retrospective perioperative and immediate
postoperative outcomes were investigated.
Results
Surgery was completed with pure single-site surgery without additional port placement
or standard multiport conversion. The total operation time was 211 min, and the console
time was 90 min. The docking time was much greater than that of previous pyeloplasty
operations using multiport system. This result may be because of difficulties caused
by bulky instrumentation entering the pneumoperitoneum. The estimated blood loss was
minor, and there were no intraoperative or perioperative complications. Ureteral stent
was removed after 4 weeks. Cosmetic outcomes were satisfactory.
Conclusions
Pure, single-site RALP using da Vinci SP® System seems feasible in aging children.
Additional studies involving more patients, younger children, and long-term outcomes
are required.
Keywords
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References
- Laparoendoscopic single-site surgery for pediatric urologic disease.J Endourol. 2016; 30: 24-27
- Transumbilical multi-port laparoscopic pyeloplasty versus transumbilical single-site laparoscopic pyeloplasty for ureteropelvic junction obstruction in children: a retrospectively comparative study.J Pediatr Urol. 2017; 13 (e1-.e5): 618
- Single-site robotic platform in clinical practice: first cases in the USA.Minerva Urol Nefrol. 2019;
- Robotic urologic surgical interventions performed with the single port dedicated platform: first clinical investigation.Eur Urol. 2018;
- Hidden incision endoscopic surgery: description of technique, parental satisfaction and applications.J Urol. 2011; 185: 1425-1431
Article info
Publication history
Published online: August 15, 2019
Accepted:
August 4,
2019
Received:
March 26,
2019
Identification
Copyright
© 2019 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
