快速通信：使用达芬奇机器人进行腹腔镜安德森-海因斯离断性肾盂成形术：技术要点
Rapid communication: laparoscopic Anderson-Hynes dismembered pyeloplasty using the da Vinci robot: technical considerations.
作者信息
Yohannes Paulos, Burjonrappa Sathyaprasad C
机构信息
Department of Surgery (Urology), Creighton University, Omaha, Nebraska, USA.
出版信息
J Endourol. 2003 Mar;17(2):79-83. doi: 10.1089/08927790360587388.
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.
目的
介绍我们使用达芬奇机器人进行腹腔镜肾盂成形术以重建上尿路的初步经验。
病例报告
一名73岁男性采用四孔经腹入路。发现输尿管肾盂（UPJ）梗阻伴有交叉血管。离断UPJ后，使用达芬奇机器人修剪并重建肾盂。总手术时间为5小时；重建时间为45分钟。失血<150毫升。术后镇痛需要8毫克吗啡和25毫克氢可酮。无术中或术后并发症。
结论
在需要广泛重建的肾盂成形术中，达芬奇机器人可作为重要的手术工具。
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