Department of Urology, University of Rochester Medical Center, Rochester, New York 14642, USA.
Int J Urol. 2013 Feb;20(2):230-4. doi: 10.1111/j.1442-2042.2012.03119.x. Epub 2012 Aug 20.
To report a single-center experience with robot-assisted pyeloplasty.
Medical records of 100 consecutive robot-assisted pyeloplasty cases carried out between May 2004 and August 2010 were retrospectively reviewed, and major perioperative parameters were recorded. Patients underwent functional (renal scan) and/or anatomical (ultrasound or computerized tomoghraphy) imaging at 6 months.
The mean patient age was 39.8 years. A total of 12 patients underwent prior attempts at repair. Ureteral stents were placed in all patients except one, and closed-suction drains were placed in 59 patients. There were two intraoperative complications and two postoperative complications requiring surgical intervention. One patient with a complex prior surgical history developed a urine leak that was managed with prolonged drainage. A total of 42 patients were discharged on postoperative day 1, and 44 were discharged on postoperative day 2. Mean length of follow up was 22.8 months. The operative success rate was 96%.
The majority of patients undergoing robot-assisted pyeloplasty can expect a short hospitalization with minimal morbidity. The operative success rate is high, even in patients with prior attempts at repair. Complication rates including urine leaks are quite low, and routine placement of a closed-suction drain is likely to be unnecessary.
报告单中心机器人辅助肾盂成形术的经验。
回顾性分析 2004 年 5 月至 2010 年 8 月期间连续 100 例机器人辅助肾盂成形术的病历，记录主要围手术期参数。患者在 6 个月时进行功能（肾扫描）和/或解剖（超声或计算机断层扫描）成像。
患者平均年龄为 39.8 岁。共有 12 例患者曾接受过修复尝试。除 1 例患者外，所有患者均放置了输尿管支架，59 例患者放置了闭式引流管。有 2 例术中并发症和 2 例术后并发症需要手术干预。1 例有复杂既往手术史的患者发生尿漏，采用延长引流管治疗。42 例患者术后第 1 天出院，44 例患者术后第 2 天出院。平均随访时间为 22.8 个月。手术成功率为 96%。
大多数接受机器人辅助肾盂成形术的患者可预期住院时间短，发病率低。即使在有过修复尝试的患者中，手术成功率也很高。并发症发生率包括尿漏率较低，常规放置闭式引流管可能没有必要。
