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首页> 外文期刊>Urology >Anderson-Hynes dismembered pyeloplasty performed using the da Vinci robotic system.
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Anderson-Hynes dismembered pyeloplasty performed using the da Vinci robotic system.

机译：Anderson-Hynes肢解了使用da Vinci机器人系统进行的肾盂成形术。

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INTRODUCTION: To evaluate and describe the use of the da Vinci robotic system in performing laparoscopic Anderson-Hynes pyeloplasty. TECHNICAL CONSIDERATIONS: Between June 2001 and February 2002, 9 patients underwent laparoscopic Anderson-Hynes pyeloplasty with the da Vinci telerobotic surgical system. The diagnosis was based on the presenting symptoms and radiologic imaging findings. The technique for da Vinci-assisted Anderson-Hynes pyeloplasty followed the same steps as for conventional laparoscopy. Three transperitoneal laparoscopic ports were required for the robotic system, and a fourth laparoscopic port was used by the assistant for retraction, suction, and introduction of suture. The operative time, suturing time, perioperative complications, and success rates were prospectively evaluated. The mean operative time was 138.8 minutes (range 80 to 215), and the mean suturing time was 62.4 minutes (range 40 to 115). No intraoperative complications or open conversions were required. The estimated blood loss was less than 50 mL in all cases. The mean length of hospitalization was 4.7 days (range 4 to 11). Postoperatively, 1 (11.1%) of 9 patients required open exploration to repair a defect in the renal pelvis. At a mean follow-up of 4.1 months (range less than 1 to 8), all procedures were successful on the basis of the subjective and radiographic data. CONCLUSIONS: All aspects of laparoscopic Anderson-Hynes pyeloplasty were performed using the da Vinci robotic system. da Vinci-assisted procedures resulted in favorable overall operative times, suturing times, perioperative complications, and available success rates, but additional clinical experience is required. Ongoing clinical application of robotic technology in a controlled scientific manner is needed to gauge the effectiveness of this method completely.
机译：简介：为了评估和描述达芬奇机器人系统在腹腔镜安德森-海恩斯肾盂成形术中的应用。技术上的考虑：在2001年6月至2002年2月之间，有9例患者接受了达芬奇远射机器人系统的腹腔镜Anderson-Hynes肾盂成形术。诊断基于出现的症状和影像学表现。达芬奇辅助的Anderson-Hynes肾盂成形术的技术步骤与常规腹腔镜检查相同。机器人系统需要三个腹腔镜腹腔镜端口，助手使用第四个腹腔镜镜端口进行牵开，抽吸和缝合。前瞻性评估手术时间，缝合时间，围手术期并发症和成功率。平均手术时间为138.8分钟（范围为80至215），平均缝合时间为62.4分钟（范围为40至115）。不需要术中并发症或开放式转换。在所有情况下，估计失血量均低于50 mL。平均住院时间为4.7天（4到11天）。术后，9例患者中有1例（11.1％）需要进行开放性探查以修复肾盂骨缺损。平均随访4.1个月（范围小于1到8），所有手术均基于主观和放射学数据成功。结论：使用达芬奇机器人系统进行腹腔镜Anderson-Hynes肾盂成形术的所有方面。达芬奇辅助的手术使总的手术时间，缝合时间，围手术期并发症和可获得的成功率提高，但还需要其他临床经验。需要以受控的科学方式持续进行机器人技术的临床应用，以全面评估该方法的有效性。

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