Villanueva Jeffrey, Killian Mary, Chaudhry Rajeev
Division of Pediatric Urology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Curr Urol Rep. 2019 May 18;20(7):35. doi: 10.1007/s11934-019-0902-8.
The goal of this article is to review the current role of robotic urologic surgery in the infant population across a spectrum of diseases and procedures.
Robotic urological surgery has been performed in the infant population across a variety of conditions including ureteropelvic junction obstruction, vesicoureteral reflux, and duplicated and nonfunctional renal moieties. However, most of the durable evidence showing safety and success remains in the repair of the obstructed ureteropelvic junction. Included in this review are also strategies to address the limitations imposed by the unique physiology and anatomy of the infant. Robotic urologic surgery remains an alternative to other surgical approaches in the properly selected infant in the hands of experienced surgeons. As additional larger studies are performed, the utility of the robotic platform in this population will be clearer.
本文旨在回顾机器人泌尿外科手术在婴儿群体中针对一系列疾病和手术的当前作用。
机器人泌尿外科手术已应用于婴儿群体的多种病症，包括肾盂输尿管连接部梗阻、膀胱输尿管反流以及重复肾和无功能肾部分。然而，显示安全性和成功率的大多数确凿证据仍集中在梗阻性肾盂输尿管连接部修复方面。本综述还包括应对婴儿独特生理和解剖结构所带来限制的策略。在经验丰富的外科医生手中，对于经过适当挑选的婴儿，机器人泌尿外科手术仍是其他手术方法的一种替代选择。随着更多更大规模研究的开展，机器人平台在该群体中的效用将更加明确。
Zotero 插件