Plastia ureteropiélica robot asistida más litolapaxia simultánea con cistoscopia flexible transtrocar

V.E. Corona-Montes , S. II García-Nares , A. Rueda-Loaiza , L.F. Quinzaños-Sordo , J.A. Zapata-González
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Abstract

Introduction

Pyeloplasty has been described by different authors and taken into minimally invasive surgery through laparoscopy, becoming the criterion standard of the procedure. Today its laparoscopic results are similar to those with the open technique, but the former requires much more experience and skill. When performed through robotic-assisted surgery, this minimally invasive procedure has the potential to more easily manipulate intracorporeal suturing and combine trans-trocar cystoscopy for litholapaxy.

Materials and methods

A 32-year-old man presented with colicky, left lumbar pain of moderate intensity with associated urinary symptoms and positive costovertebral angle percussion. An abdominopelvic tomography scan revealed ureteropelvic junction stricture and a pelvic stone measuring 1.3 cm.

Discussion

Robotic-assisted pyeloplasty was first described in 2002 by Gettman and its success rates are similar to those of other techniques.

Conclusions

Robotic-assisted pyeloplasty is a good alternative technique for defect suturing and repair. It can also be a hybrid surgery through its combination with trans-trocar endoscopy to simultaneously perform litholapaxy of the renal pelvis or renal cavities.

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机器人辅助输尿管成形术加上同时结石治疗与transtrocar柔性膀胱镜检查
肾盂成形术已被不同的作者描述,并通过腹腔镜纳入微创手术,成为该手术的标准。如今,腹腔镜手术的结果与开放式手术相似,但前者需要更多的经验和技能。当通过机器人辅助手术进行时,这种微创手术具有更容易操作体内缝合和结合经套管穿刺膀胱镜进行结石清除的潜力。材料与方法男性32岁,以腰绞痛、左腰疼痛为主诉,伴尿路症状,肋椎角叩击阳性。腹部肾盂断层扫描显示输尿管肾盂连接处狭窄,骨盆结石直径1.3厘米。机器人辅助肾盂成形术于2002年由Gettman首次描述,其成功率与其他技术相似。结论机器人辅助肾盂成形术是一种很好的修复肾盂缺损的方法。它也可以是一种混合手术,通过它与经套管针内窥镜的结合,同时进行肾盂或肾腔的结石清除。
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来源期刊
Revista mexicana de urologia
Revista mexicana de urologia Medicine-Urology
CiteScore
0.20
自引率
0.00%
发文量
49
期刊介绍: Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.
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