Sobhani Sina, Hemal Sij
Norris Comprehensive Cancer Center, Institute of Urology, University of Southern California, Los Angeles, CA, USA.
Indian J Urol. 2025 Jan-Mar;41(1):73-74. doi: 10.4103/iju.iju_389_24. Epub 2025 Jan 1.
This video explores the technique of robot-assisted pyeloplasty using the Da-Vinci Single-Port robot through the supine anterior retroperitoneal access in a 28-year-old male with a right-sided ureteropelvic junction obstruction. The patient was placed in a supine position, with a 10°-20° elevation of the ipsilateral flank. Retroperitoneal access was obtained at the McBurney's point for the placement of the port. The standardized steps of the Anderson-Hynes pyeloplasty technique were executed. Operative time was 120 min with 10 mL of blood loss. The patient was discharged on the same day without complications. At 4-months follow-up, on the renal scan, the right kidney showed stable function with improved drainage.
本视频探讨了在一名28岁患有右侧肾盂输尿管连接处梗阻的男性患者中,通过仰卧位前入路经腹膜后途径,使用达芬奇单孔机器人进行机器人辅助肾盂成形术的技术。患者取仰卧位,患侧腰部抬高10°-20°。在麦氏点获得腹膜后入路以放置端口。执行了安德森-海恩斯肾盂成形术技术的标准化步骤。手术时间为120分钟,失血10毫升。患者于同日出院,无并发症。在4个月的随访中,肾脏扫描显示右肾功能稳定,引流改善。