Robot-assisted pyeloplasty for ureteropelvic junction obstruction: initial experience with the novel avatera system.
Avatera system
Pyeloplasty
Robot-assisted pyeloplasty
Ureteropelvic junction obstruction
Journal
World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
10
07
2023
accepted:
16
08
2023
medline:
9
11
2023
pubmed:
5
9
2023
entrez:
5
9
2023
Statut:
ppublish
Résumé
This pilot study was designed to interpret the technically specific features of the avatera robotic system and present our initial experience with this novel platform in robot-assisted pyeloplasty (RAP). A single-center prospective study was conducted including all patients who underwent RAP with the avatera robotic system from June 2022 to October 2022 in our Department. Transperitoneal robot-assisted dismembered pyeloplasty was performed in all cases. The trocar placement and the surgical technique were similar in all patients. The successful completion of the procedures, operation time (including draping, docking and console time), decrease in hemoglobin postoperatively, and presence of any complications were the study's primary endpoints. In total, nine patients underwent RAP using the avatera system. All procedures were successfully completed. The draping of the robotic unit was completed in a median time of 10 min (range 7-15), while the median docking time was 17 min (range 10-24). The median console time was 88 min (range 78-116) and no complications were noticed. The median hemoglobin drop was calculated to 0.7 g/dL (range 0.4-1). During the mean follow-up of 9.33 ± 2.78 months, no late postoperative complications were noticed. The early outcomes of the use of the novel avatera system in RAP are presented. All operations were successfully completed with safety and efficacy, without complications or significant blood loss.
Identifiants
pubmed: 37668715
doi: 10.1007/s00345-023-04586-7
pii: 10.1007/s00345-023-04586-7
doi:
Substances chimiques
Hemoglobins
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3155-3160Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Vemulakonda VM (2021) Ureteropelvic junction obstruction: diagnosis and management. Curr Opin Pediatr 33(2):227–234
doi: 10.1097/MOP.0000000000000994
pubmed: 33470672
Metcalfe PD, Assmus M, Kiddoo D (2014) Symptomatic versus asymptomatic pyeloplasties: a single institution review. Can Urol Assoc J 8(11–12):428–431
doi: 10.5489/cuaj.2271
pubmed: 25553157
pmcid: 4277523
Pérez-Marchán M, Pérez-Brayfield M (2022) Comparison of laparoscopic pyeloplasty vs. robot-assisted pyeloplasty for the management of ureteropelvic junction obstruction in children. Front Pediatr 10:1038454
doi: 10.3389/fped.2022.1038454
pubmed: 36425398
pmcid: 9679786
Schuessler WW et al (1993) Laparoscopic dismembered pyeloplasty. J Urol 150(6):1795–1799
doi: 10.1016/S0022-5347(17)35898-6
pubmed: 8230507
Gettman MT et al (2002) Anderson–Hynes dismembered pyeloplasty performed using the da Vinci robotic system. Urology 60(3):509–513
doi: 10.1016/S0090-4295(02)01761-2
pubmed: 12350499
Etafy M et al (2011) Robotic pyeloplasty: the University of California-Irvine experience. J Urol 185(6):2196–2200
doi: 10.1016/j.juro.2011.02.054
pubmed: 21497846
Yu HY et al (2012) Use, costs and comparative effectiveness of robotic assisted, laparoscopic and open urological surgery. J Urol 187(4):1392–1398
doi: 10.1016/j.juro.2011.11.089
pubmed: 22341274
Minnillo BJ et al (2011) Long-term experience and outcomes of robotic assisted laparoscopic pyeloplasty in children and young adults. J Urol 185(4):1455–1460
doi: 10.1016/j.juro.2010.11.056
pubmed: 21334663
Zappia JL et al (2023) Outcomes of robot-assisted laparoscopic pyeloplasty based on degree of obstruction on preoperative Tc-99 MAG-3 renal scintigraphy. J Endourol 37(2):151–156
doi: 10.1089/end.2022.0463
pubmed: 36254381
Masieri L et al (2019) Robot-assisted pyeloplasty for ureteropelvic junction obstruction: experience from a tertiary referral center. Minerva Urol Nefrol 71(2):168–173
doi: 10.23736/S0393-2249.19.03328-9
pubmed: 30767492
Liatsikos E et al (2022) Market potentials of robotic systems in medical science: analysis of the avatera robotic system. World J Urol 40(1):283–289
doi: 10.1007/s00345-021-03809-z
pubmed: 34424374
Avateramedical. https://www.avatera.eu/en/home . Accessed 21 June 2023
Zhang P et al (2020) Robotic-assisted laparoscopic pyeloplasty as management for recurrent ureteropelvic junction obstruction: a comparison study with primary pyeloplasty. Transl Androl Urol 9(3):1278–1285
doi: 10.21037/tau.2020.03.25
pubmed: 32676411
pmcid: 7354308
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213
doi: 10.1097/01.sla.0000133083.54934.ae
pubmed: 15273542
pmcid: 1360123
Rassweiler JJ et al (2017) Future of robotic surgery in urology. BJU Int 120(6):822–841
doi: 10.1111/bju.13851
pubmed: 28319324
Peteinaris A et al (2023) The feasibility of robot-assisted radical cystectomy: an experimental study. World J Urol 41(2):477–482
doi: 10.1007/s00345-022-04266-y
pubmed: 36577927
Salkowski M et al (2023) New multiport robotic surgical systems: a comprehensive literature review of clinical outcomes in urology. Ther Adv Urol 15:17562872231177780
doi: 10.1177/17562872231177781
pubmed: 37325289
pmcid: 10265325
Tuo Z et al (2021) Three-port approach vs standard laparoscopic radical cystectomy with an ileal conduit: a single-centre retrospective study. BMC Urol 21(1):159
doi: 10.1186/s12894-021-00920-6
pubmed: 34781963
pmcid: 8591944
Rasool S et al (2020) Comparison of open, laparoscopic and robot-assisted pyeloplasty for pelviureteric junction obstruction in adult patients. J Robot Surg 14(2):325–329
doi: 10.1007/s11701-019-00991-6
pubmed: 31222624
Dai X et al (2021) Comparison of KD-SR-01 robotic partial nephrectomy and 3D-laparoscopic partial nephrectomy from an operative and ergonomic perspective: a prospective randomized controlled study in porcine models. Int J Med Robot 17(2):e2187
doi: 10.1002/rcs.2187
pubmed: 33068498
Berguer R, Smith W (2006) An ergonomic comparison of robotic and laparoscopic technique: the influence of surgeon experience and task complexity. J Surg Res 134(1):87–92
doi: 10.1016/j.jss.2005.10.003
pubmed: 16376941
Spampinato G et al (2021) Comparison of the learning curve for robot-assisted laparoscopic pyeloplasty between senior and junior surgeons. J Laparoendosc Adv Surg Tech A 31(4):478–483
doi: 10.1089/lap.2020.0822
pubmed: 33651635
van der Schans EM et al (2020) From Da Vinci Si to Da Vinci Xi: realistic times in draping and docking the robot. J Robot Surg 14(6):835–839
doi: 10.1007/s11701-020-01057-8
pubmed: 32078114
pmcid: 7674320
Iranmanesh P et al (2010) Set-up and docking of the da Vinci surgical system: prospective analysis of initial experience. Int J Med Robot 6(1):57–60
doi: 10.1002/rcs.288
pubmed: 20047195
Yanke BV et al (2008) Robot-assisted laparoscopic pyeloplasty: technical considerations and outcomes. J Endourol 22(6):1291–1296
doi: 10.1089/end.2008.0081
pubmed: 18484890
Bentas W et al (2003) Da Vinci robot assisted Anderson–Hynes dismembered pyeloplasty: technique and 1 year follow-up. World J Urol 21(3):133–138
doi: 10.1007/s00345-003-0348-x
pubmed: 12942276
Carmona O et al (2022) Laparoscopic versus robot-assisted pyeloplasty in adults—a single-center experience. J Pers Med 12(10):1586
doi: 10.3390/jpm12101586
pubmed: 36294723
pmcid: 9604574
Traumann M et al (2015) Robot-assisted laparoscopic pyeloplasty in adults: excellent long-term results of primary pyeloplasty. Urol A 54(5):703–708
doi: 10.1007/s00120-014-3654-6
Nayyar R, Gupta NP, Hemal AK (2010) Robotic management of complicated ureteropelvic junction obstruction. World J Urol 28(5):599–602
doi: 10.1007/s00345-009-0469-y
pubmed: 19711084
Fan S et al (2021) Robot-assisted pyeloplasty using a new robotic system, the KangDuo-Surgical Robot-01: a prospective, single-centre, single-arm clinical study. BJU Int 128(2):162–165
doi: 10.1111/bju.15396
pubmed: 33725392
Elorrieta V et al (2023) ROBOT assisted laparoscopic surgeries for nononcological urologic disease: initial experience with Hugo Ras system. Urology 174:118–125
doi: 10.1016/j.urology.2023.01.042
pubmed: 36804552
Hussein AA et al (2023) Transition from da Vinci to Versius robotic surgical system: initial experience and outcomes of over 100 consecutive procedures. J Robot Surg 17(2):419–426
doi: 10.1007/s11701-022-01422-9
pubmed: 35752748