Morales-López Ramphis A, Pérez-Marchán Marcos, Pérez Brayfield Marcos
Division of Urology, Department of Surgery, University of Puerto Rico School of Medicine, San Juan, PR, United States.
HIMA-San Pablo Group, Caguas, PR, United States.
Front Pediatr. 2019 Jan 24;7:4. doi: 10.3389/fped.2019.00004. eCollection 2019.
Robotic surgery in pediatric urology has been gaining popularity since its introduction almost two decades ago. Robotic assisted pyeloplasty is the most common robotic procedure performed in pediatric urology. Advances in robotic technology, instrumentation, patient care and surgical expertise have allowed the correction of ureteropelvic junction (UPJ) obstruction in most patients using this minimally invasive technique. The excellent experience with robotic assisted pyeloplasty has challenged other approaches as a new standard for the treatment of UPJ obstruction. In this review, we will describe the technique as it relates to the different robotic platforms, review the surgical experience and compare its results to other surgical approaches. Also, we will discuss patient and parent satisfaction, cost and financial considerations, along with evaluating the future of robotic surgery in the treatment of UPJ obstruction.
自近二十年前引入以来，小儿泌尿外科的机器人手术越来越受欢迎。机器人辅助肾盂成形术是小儿泌尿外科最常见的机器人手术。机器人技术、器械、患者护理和手术专业知识的进步使得大多数患者能够使用这种微创技术纠正肾盂输尿管连接部（UPJ）梗阻。机器人辅助肾盂成形术的出色经验对其他治疗方法构成了挑战，成为治疗UPJ梗阻的新标准。在本综述中，我们将描述与不同机器人平台相关的技术，回顾手术经验，并将其结果与其他手术方法进行比较。此外，我们将讨论患者和家长的满意度、成本和财务考虑因素，同时评估机器人手术在治疗UPJ梗阻方面的未来。
