Summary
Introduction
Single-port robot-assisted laparoscopic surgery is a breakthrough in the field of
minimally invasive surgery. However, it is currently only applicable to older children
due to the limitation of operating space. Here, we report a case of single-port robot-assisted
laparoscopic pyeloplasty (RALP) using the da Vinci Xi® surgical system in a 7-months
infant.
Methods
A 7-month-old infant with ureteropelvic junction obstruction (UPJO) underwent single-port
RALP conducted using the da Vinci Xi® System. Retrospective perioperative, immediate
postoperative outcomes and 9 months follow up were investigated.
Results
Surgery progressed smoothly without additional operative port placement or open procedure.
The total operative time was 160 min, including 90 min of console time. And estimated
blood loss was 5 ml. No intraoperative and postoperative complications were found.
Postoperative follow-up showed good efficacy, and the incision seemed to be traceless.
Conclusion
Single-port RALP using da Vinci Xi® System in infants is feasible and safe. It showed
excellent efficacy in treating UPJO as shown in the short-term follow-up. Subsequent
cohorts with more infant patients and long-term follow-up will be required to further
validation.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- A systematic review and meta-analysis of conventional laparoscopic versus robot-assisted laparoscopic pyeloplasty in infants.J Pediatr Urol. 2021; 17: 502-510https://doi.org/10.1016/j.jpurol.2021.03.009
- The robotic-assisted laparoscopic pyeloplasty: gateway to advanced reconstruction.Urol Clin North Am. 2015; 42: 89-97https://doi.org/10.1016/j.ucl.2014.09.008
- Robot-assisted laparoscopic single-port pyeloplasty using the da Vinci SP® system: initial experience with a pediatric patient.J Pediatr Urol. 2019; 15: 576-577https://doi.org/10.1016/j.jpurol.2019.08.003
- Single-port robotic Mitrofanoff in a pediatric patient.J Pediatr Urol. 2021; 17: 424-425https://doi.org/10.1016/j.jpurol.2021.03.021
Article info
Publication history
Published online: August 03, 2022
Accepted:
July 20,
2022
Received in revised form:
April 23,
2022
Received:
January 8,
2022
Identification
Copyright
© 2022 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
