Outcome of robotic pyeloplasty: a single-center experience
Meshal Saleh Almutair, Abdullah Ali Alaliyah, Abdulrahman Mohammed Alsuwailim, Khalid Mohammed Albalawi, Naif Abdullah Aldhaam, Maher Saleh Moazin.
Abstract
Background: Currently, many urological procedures are done robotically. Yet, the use of the robot in pyeloplasty still needs further evaluation as regards safety and efficacy. The current study aimed to evaluate the outcomes of robotic pyeloplasty.
Methodology: This retrospective study was done at King Fahad Medical City in Riyadh-Saudi Arabia. It reviewed all the patients who underwent robotic (da Vinci) pyeloplasty in 8 years. The success of the procedure was determined by observing preoperative and postoperative improvement of symptoms, the severity of hydronephrosis, and renal function.
Results: A total of 29 patients, 17 males, and 12 females with the male-to-female ratio of 1.4:1; the mean age was 24.07 ± 13.435. The mean operative time was 232.86 ± 76.77 minutes. Mean hospital stay was 4.10 ± 3.1 days. Mean blood loss was 54.66 ± 56.54 ml. Follow up results revealed that two cases (6.9%) needed revision, and there were no intraoperative or postoperative complications.
Conclusion: The use of the robot in pyeloplasty is safe, effective, and has minimal complications.
Key words: Robotic, pyeloplasty, outcomes, King Fahad Medical City
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