Division of Urology, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Division of Urology, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Urol Clin North Am. 2021 Feb;48(1):113-125. doi: 10.1016/j.ucl.2020.09.008. Epub 2020 Nov 5.
Almost 30 years have passed since the inception of minimally invasive surgery in urology and specifically in pediatric urology. Laparoscopy has now become an essential tool in the pediatric urologic armamentarium. The application of robot-assisted surgery in pediatrics has allowed for widespread utilization for common reconstructive procedures such as pyeloplasty and ureteral reimplantation. Understanding the implementation, technical considerations, and outcomes are critical for continued success and adoption. This has allowed for increased use in more complex urologic procedures such as redo pyeloplasty, dismembered ureteral reimplantation, catheterizable channel creation, and bladder augmentation.
微创泌尿外科的发展已有近 30 年的历史,特别是在小儿泌尿外科领域。腹腔镜现在已经成为小儿泌尿外科的重要工具。机器人辅助手术在儿科的应用使得常见的重建手术如肾盂成形术和输尿管再植术得到广泛应用。了解其实施、技术考虑因素和结果对于持续成功和采用至关重要。这使得它在更复杂的泌尿外科手术中得到了更多的应用,如再发性肾盂成形术、离断式输尿管再植术、可控性通道的创建和膀胱扩大术。