Tasian Gregory E, Casale Pasquale
Division of Urology, Department of Surgery, Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, 3rd Floor, Wood Center, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA.
Department of Urology, Morgan Stanley Children's Hospital, Columbia University Medical Center, 3959 Broadway, 11th Floor, New York, NY 10032, USA.
Urol Clin North Am. 2015 Feb;42(1):89-97. doi: 10.1016/j.ucl.2014.09.008. Epub 2014 Nov 20.
Robotic pyeloplasty is now commonly performed for children with ureteropelvic junction obstruction. Because surgical robotics is a tool that facilitates pyeloplasty and other reconstructive urologic operations, the indications for robotic-assisted laparoscopic pyeloplasty are the same as those for an open pyeloplasty but offer distinct advantages with respect to visualization, range of motion, and ease of laparoscopic suturing. In this review, the authors discuss the operative approach for robotic pyeloplasty in children and the extensions of the basic techniques to challenging clinical scenarios.
机器人肾盂成形术目前常用于治疗患有肾盂输尿管连接部梗阻的儿童。由于手术机器人是一种有助于肾盂成形术和其他泌尿外科重建手术的工具,机器人辅助腹腔镜肾盂成形术的适应症与开放肾盂成形术相同,但在可视化、活动范围和腹腔镜缝合的便利性方面具有明显优势。在这篇综述中,作者讨论了儿童机器人肾盂成形术的手术方法以及将基本技术扩展到具有挑战性的临床情况。