Yohannes Paulos, Chiou Rei K, Pelinkovic Dalip
Department of Surgery (Urology), Creighton University, 601 N. 30th Street, Suite 3703, Omaha, NE 68131, USA.
J Endourol. 2003 Dec;17(10):891-3. doi: 10.1089/089277903772036217.
The role of the da Vinci robot is slowly being defined in minimally invasive urologic surgery. We report its use in the management of ureteral stricture disease.
A 42-year-old man with recurrent kidney stone disease was found to have a left distal-ureteral stricture. After failure of endoscopic treatment, a robot-assisted laparoscopic ureteral reimplantation was performed. The total operative time was 210 minutes. The estimated blood loss was <50 mL. There were no intraoperative or postoperative complications. Total analgesic use was 30 mg of morphine. The hospital stay was 5 days.
Pure robot-assisted laparoscopic ureteral reimplantation is a safe and feasible approach to the management of ureteral stricture disease.
达芬奇机器人在微创泌尿外科手术中的作用正逐渐得到明确。我们报告其在输尿管狭窄疾病治疗中的应用。
一名42岁复发性肾结石病男性被发现存在左输尿管远端狭窄。内镜治疗失败后,实施了机器人辅助腹腔镜输尿管再植术。总手术时间为210分钟。估计失血量<50毫升。无术中或术后并发症。总镇痛药物用量为30毫克吗啡。住院时间为5天。
单纯机器人辅助腹腔镜输尿管再植术是治疗输尿管狭窄疾病的一种安全可行的方法。