Home > Riviste > Minerva Urologica e Nefrologica > Fascicoli precedenti > Minerva Urologica e Nefrologica 2017 December;69(6) > Minerva Urologica e Nefrologica 2017 December;69(6):604-12

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

MINERVA UROLOGICA E NEFROLOGICA

Rivista di Nefrologia e Urologia


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,984


eTOC

 

ORIGINAL ARTICLE  


Minerva Urologica e Nefrologica 2017 December;69(6):604-12

DOI: 10.23736/S0393-2249.17.02833-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Robot-assisted laparoendoscopic single-site versus mini-laparoscopic pyeloplasty: a comparison of perioperative, functional and cosmetic results

Cristian FIORI , Riccardo BERTOLO, Matteo MANFREDI, Fabrizio MELE, Daniele AMPARORE, Giovanni CATTANEO, Ivano MORRA, Roberto M. SCARPA, Francesco PORPIGLIA

Division of Urology, Department of Oncology-University of Turin, “San Luigi Gonzaga” Hospital, Orbassano, Turin, Italia


PDF  


BACKGROUND: New approaches have been developed to further reduce the invasiveness of laparoscopic pyeloplasty (P) as treatment for uretero-pelvic junction obstruction (UPJO). Aim of the study was to compare perioperative, functional and cosmetic results of mini-laparoscopic (mL-P) versus robot-assisted laparoendoscopic single-site P (rLESS-P).
METHODS: Since April 2009 to June 2010, 12 adult patients with primary UPJO, BMI<25 and no previous abdominal surgeries were enrolled undergoing mLP (3-mm instruments only). With the same indications since February 2012 to October 2013, 15 patients underwent rLESS-P with “single site”® platform (Intuitive Surgery Inc, Sunnyvale, CA, USA). Success of surgeries was determined by clinical parameters and renal scan (success if T 1/2<20 min) at 12 months postoperatively. Demographics and perioperative results were analyzed. Cosmetic results were assessed by using the Patient Scar Assessment Questionnaire (PSAQ).
RESULTS: Groups were comparable at baseline. No differences were found in perioperative variables except for a longer operative time in rLESS-P group (128 vs. 190, P<0.001). Postoperative complications rate, analgesic consumption, pain visual analogue scale scores, hospital stay and success rate of surgeries were not significantly different between the groups. PSAQ revealed that in both the groups patients were satisfied with the cosmetic result. At one-year follow-up no recurrences were observed. Semiquantitative analysis of costs revealed an extra-cost for rLESS-P of € 3410 per procedure.
CONCLUSIONS: In our experience, both mLP and rLESS-P appeared to be feasible and safe in the treatment of UPJO and allowed for excellent cosmetic results. r-LESS required longer operative times and higher costs.


KEY WORDS: Robotic surgical procedures - Laparoscopy - Ureteral obstruction

inizio pagina

Publication History

Issue published online: October 25, 2017
Article first published online: April 20, 2017
Manuscript accepted: April 4, 2017
Manuscript revised: March 29, 2017
Manuscript received: October 12, 2016

Per citare questo articolo

Fiori C, Bertolo R, Manfredi M, Mele F, Amparore D, Cattaneo G, et al. Robot-assisted laparoendoscopic single-site versus mini-laparoscopic pyeloplasty: a comparison of perioperative, functional and cosmetic results. Minerva Urol Nefrol 2017;69:604-12. DOI: 10.23736/S0393-2249.17.02833-8

Corresponding author e-mail

cristian.fiori@unito.it