Outcomes of robotic‐assisted laparoscopic upper urinary tract reconstruction: 250 consecutive patients

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 ston...

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Bibliographic Details
Published in:BJU international 2015-10, Vol.116 (4), p.604-611
Main Authors: Marien, Tracy, Bjurlin, Marc A., Wynia, Blake, Bilbily, Matthew, Rao, Gaurav, Zhao, Lee C., Shah, Ojas, Stifelman, Michael D.
Format: Article
Language:English
Subjects:
Adult
Aged
Female
Humans
Laparoscopy - adverse effects
Laparoscopy - methods
Male
Middle Aged
Postoperative Complications
reconstruction
Reconstructive Surgical Procedures - adverse effects
Reconstructive Surgical Procedures - methods
Retrospective Studies
Robotic Surgical Procedures - adverse effects
Robotic Surgical Procedures - methods
robotic‐assisted laparoscopy
Treatment Outcome
upper urinary tract
Urinary Tract - surgery
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Summary: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.
ISSN:1464-4096
1464-410X
DOI:10.1111/bju.13086