Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challenge

Management of pelvi-ureteric junction obstruction (PUJO) in a duplex system is technically challenging as dissection at the pelvis may jeopardize the vascularity of the normal moiety ureter. Anastomosing the pelvis to the one single ureter will have a risk of future development of stricture which th...

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Main Authors: Girdhar S Bora, Kalpesh Parmar, Ravimohan S Mavuduru
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Urology
Subjects:
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2016;volume=32;issue=4;spage=314;epage=316;aulast=Bora
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author Girdhar S Bora
Kalpesh Parmar
Ravimohan S Mavuduru
author_facet Girdhar S Bora
Kalpesh Parmar
Ravimohan S Mavuduru
author_sort Girdhar S Bora
collection DOAJ
description Management of pelvi-ureteric junction obstruction (PUJO) in a duplex system is technically challenging as dissection at the pelvis may jeopardize the vascularity of the normal moiety ureter. Anastomosing the pelvis to the one single ureter will have a risk of future development of stricture which then will risk both the moieties. Robotic assistance enables appropriate tissue dissection; minimal handling of normal ureter and precision in suturing, overcoming the potential challenges involved in the minimally invasive management of such complex cases. We report the feasibility and efficacy of robot-assisted laparoscopic pyeloplasty in such case.
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spelling doaj.art-0fc6c62d78db4bbbaf4dd1c902c4f6502022-12-21T23:37:51ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242016-01-0132431431610.4103/0970-1591.191264Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challengeGirdhar S BoraKalpesh ParmarRavimohan S MavuduruManagement of pelvi-ureteric junction obstruction (PUJO) in a duplex system is technically challenging as dissection at the pelvis may jeopardize the vascularity of the normal moiety ureter. Anastomosing the pelvis to the one single ureter will have a risk of future development of stricture which then will risk both the moieties. Robotic assistance enables appropriate tissue dissection; minimal handling of normal ureter and precision in suturing, overcoming the potential challenges involved in the minimally invasive management of such complex cases. We report the feasibility and efficacy of robot-assisted laparoscopic pyeloplasty in such case.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2016;volume=32;issue=4;spage=314;epage=316;aulast=BoraDuplex systempelvi-ureteric junction obstructionrobotic surgery
spellingShingle Girdhar S Bora
Kalpesh Parmar
Ravimohan S Mavuduru
Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challenge
Indian Journal of Urology
Duplex system
pelvi-ureteric junction obstruction
robotic surgery
title Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challenge
title_full Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challenge
title_fullStr Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challenge
title_full_unstemmed Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challenge
title_short Robot-assisted pyeloplasty for pelvi-ureteric junction obstruction of lower moiety in partial duplex system: A technical challenge
title_sort robot assisted pyeloplasty for pelvi ureteric junction obstruction of lower moiety in partial duplex system a technical challenge
topic Duplex system
pelvi-ureteric junction obstruction
robotic surgery
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2016;volume=32;issue=4;spage=314;epage=316;aulast=Bora
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AT kalpeshparmar robotassistedpyeloplastyforpelviuretericjunctionobstructionoflowermoietyinpartialduplexsystematechnicalchallenge
AT ravimohansmavuduru robotassistedpyeloplastyforpelviuretericjunctionobstructionoflowermoietyinpartialduplexsystematechnicalchallenge