Plastia ureteropiélica robot asistida más litolapaxia simultánea con cistoscopia flexible transtrocar

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.