Juan Astigueta

Cleveland Clinic, Instituto Médico La Floresta

Papers

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About

Juan Astigueta is a pioneering urological surgeon whose work has significantly advanced the application of robotic surgery in complex genitourinary reconstructions. His primary research focuses on minimally invasive techniques for challenging urological conditions, particularly in the management of fistulas and large renal calculi. Astigueta’s most influential contribution is the 2008 study on robotic repair of rectovesical fistulas resulting from open radical prostatectomy, a procedure that traditionally required open surgery. With 46 citations, this work demonstrated the feasibility and safety of a robotic approach, reducing morbidity and recovery time for patients with this debilitating complication. He further expanded the boundaries of robotic urology with his 2010 report on robotic extended pyelolithotomy for complete staghorn calculi, showcasing the technique’s potential in managing large kidney stones. Though cited fewer times, this work underscores his commitment to pushing the limits of robotic surgery. Astigueta’s contributions have helped establish robotic platforms as viable alternatives for complex reconstructive procedures, influencing surgical practice and inspiring further innovation in the field.