Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA; Wake Med Health, Raleigh, NC, USA.
J Pediatr Urol. 2024 Jun;20(3):486.e1-486.e7. doi: 10.1016/j.jpurol.2024.01.009. Epub 2024 Jan 11.
We aim to report our surgical technique, functional and radiological outcomes of single port (SP) extraperitoneal robotic pediatric pyeloplasty through a low anterior (3 cm) access using a da-Vinci single-port (SP) robotic surgical system in the pediatric population.
We present our initial series of 6 pediatric patients that underwent robotic SP extraperitoneal pyeloplasty between 2022 and 2023. Patient clinicopathologic variables and perioperative outcomes were collected prospectively.
All cases of SP extraperitoneal pyeloplasty were completed without any intraoperative complications or conversion to an open, laparoscopic, or multi-port robotic pyeloplasty. Total operative times including cystoscopy ranged from 178 min to 240 min. All patients tolerated the surgery with minimal postsurgical pain and no narcotic requirement. No intraoperative or immediate postoperative complications were recorded in the cohort. There were no readmissions after discharge at a median follow-up of 12 months (6-18 months) in our series.
Single port extraperitoneal pyeloplasty is a safe and feasible option for upper tract reconstruction in pediatric patients. All patients had complete resolution of symptoms and improvement of hydronephrosis on follow-up imaging.
我们旨在报告我们的手术技术，通过达芬奇单端口（SP）机器人手术系统在儿童人群中通过低前（3cm）入路进行的单端口（SP）腹膜外机器人小儿肾盂成形术的功能和影像学结果。
我们介绍了 2022 年至 2023 年间接受机器人 SP 腹膜外肾盂成形术的 6 例儿科患者的初始系列。前瞻性收集患者的临床病理变量和围手术期结果。
所有 SP 腹膜外肾盂成形术均无术中并发症或转为开放、腹腔镜或多端口机器人肾盂成形术完成。包括膀胱镜检查在内的总手术时间为 178 分钟至 240 分钟。所有患者均耐受手术，术后疼痛轻微，无需使用麻醉药物。该队列中未记录到术中或即刻术后并发症。在我们的系列中，中位随访 12 个月（6-18 个月）后，无患者再入院。
单端口腹膜外肾盂成形术是儿童上尿路重建的一种安全可行的选择。所有患者的症状均完全缓解，随访影像学显示肾积水改善。
