Robotic urologic reconstructive procedures

摘要

PURPOSE OF REVIEW: This review provides an overview of reconstructive robotic procedures in urology. Recently, robotic surgeons have described techniques in urologic reconstruction. We summarize the literature regarding outcomes and surgical steps for robotic pyeloplasty, robotic ureteral neocystostomy with ureteral reimplantation and robotic ureteroureterostomy/ureterolithotomy. RECENT FINDINGS: Outcomes reveal robotic assistance has greatly decreased the morbidity of urinary tract reconstruction, when compared with open surgical techniques. In addition, the superior visual and manual acuity of the robot allows one to perform surgical steps easier as compared with conventional laparoscopy. SUMMARY: Robotic assistance provides many benefits for urinary tract reconstruction and in this review we outline the salient features, with the goal of adding these techniques to the urology armamentarium. Future outcome studies need to confirm the long-term efficacy of these techniques.