2021 Volume 34 Issue 2 Pages 323-327
Objective :
To compare the surgical and functional outcomes of robotic and laparoscopic dismembered pyeloplasty for the treatment of patients with ureteropelvic junction obstruction (UPJO).
Patients and Methods :
A review was performed of all procedures of Robot-assisted laparoscopic pyeloplasty (RAPP) and laparoscopic pyeloplasty (LPP) performed at our hospital. Perioperative results and follow-up data were subsequently compared. All operations were performed with transperitoneal approach and using the Anderson-Hynes method.
Results :
Thirty patients were treated with RAPP and 50 patients were treated with LPP during the study period. RAPP was performed by 6 surgeons and LPP was performed by 2 surgeons. Patient demographics were similar between the two groups. Mean operative times were similar in RAPP and LPP groups (170 vs. 181 min, respectively［p＝0.33］) and the anastomosis time was shorter in the RAPP group (41 vs. 54 min, respectively［p＝0.002］). Operative Blood loss was greater in the RAPP group (13 vs. 5 mL, respectively［p＜0.01］).
Conclusion :
RAPP was non-inferior to LPP in terms of the operative time, hospitalization time, and success rate.
