[23] Utilising the da Vinci® robotic surgical system to treat challenging urinary stones: West Virginia University experience

Objective: To report our experience in utilising the Da Vinci® robotic surgical (Intuitive Surgical Inc., Sunnyvale, CA, USA) system to treat patients with challenging urinary stones (CUS). Methods: We reviewed our prospectively collected data of patients who underwent robot-assisted stone surgery (...

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Autor principal:	Mohamad Salkini
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/0b93f1853a5d4ea492f8d0d2985810df
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spelling	oai:doaj.org-article:0b93f1853a5d4ea492f8d0d2985810df2021-12-02T12:07:16Z[23] Utilising the da Vinci® robotic surgical system to treat challenging urinary stones: West Virginia University experience2090-598X10.1016/j.aju.2018.10.070https://doaj.org/article/0b93f1853a5d4ea492f8d0d2985810df2018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301645https://doaj.org/toc/2090-598XObjective: To report our experience in utilising the Da Vinci® robotic surgical (Intuitive Surgical Inc., Sunnyvale, CA, USA) system to treat patients with challenging urinary stones (CUS). Methods: We reviewed our prospectively collected data of patients who underwent robot-assisted stone surgery (RASS). We utilised the da Vinci to treat 21 patients with CUS at our institute. A CUS was defined as a stone that could not be treated or had failed attempts at treatment with traditional minimally invasive surgery such as extracorporeal shockwave lithotripsy, ureteroscopy, or percutaneous nephrolithotomy (PCNL). Results: In all, 19 patients had RASS at our institute. The indications for robot-assisted laparoscopic pyeloplasty were: morbid obesity (eight patients, mean body mass index 56.4 kg/m2), need for concurrent renal surgery (five), severe contractures limiting positioning for retrograde endoscopic or percutaneous nephrolithotripsy (two), symptomatic calyceal diverticular stone with failed endoscopic approach (four), and after failed PCNL (two). Patients had an average of 2.3 stones and total stone volume of 16.5 mL measured by computed tomography (CT). The mean (range) blood loss was 57.8 (25–300) mL. The mean (range) operative time was 110 (50–180) min, with a mean (range) hospital stay of 2.5 (1–8) days. The mean follow-up was 54 days and 91% of patients were stone free on the follow-up CT. Four patients (4%) developed complications: one patient (5%) developed candidaemia, one patient (5%) developed urine leakage that necessitated prolonged stenting and catheterisation, and two patients (9%) developed wound infections. Conclusion: The treatment of urological stones can be challenging, RASS is a promising way to remove kidney stones with high stone-free rates. RASS should be considered as an option to replace open stone surgery.Mohamad SalkiniTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S12- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Mohamad Salkini [23] Utilising the da Vinci® robotic surgical system to treat challenging urinary stones: West Virginia University experience
description	Objective: To report our experience in utilising the Da Vinci® robotic surgical (Intuitive Surgical Inc., Sunnyvale, CA, USA) system to treat patients with challenging urinary stones (CUS). Methods: We reviewed our prospectively collected data of patients who underwent robot-assisted stone surgery (RASS). We utilised the da Vinci to treat 21 patients with CUS at our institute. A CUS was defined as a stone that could not be treated or had failed attempts at treatment with traditional minimally invasive surgery such as extracorporeal shockwave lithotripsy, ureteroscopy, or percutaneous nephrolithotomy (PCNL). Results: In all, 19 patients had RASS at our institute. The indications for robot-assisted laparoscopic pyeloplasty were: morbid obesity (eight patients, mean body mass index 56.4 kg/m2), need for concurrent renal surgery (five), severe contractures limiting positioning for retrograde endoscopic or percutaneous nephrolithotripsy (two), symptomatic calyceal diverticular stone with failed endoscopic approach (four), and after failed PCNL (two). Patients had an average of 2.3 stones and total stone volume of 16.5 mL measured by computed tomography (CT). The mean (range) blood loss was 57.8 (25–300) mL. The mean (range) operative time was 110 (50–180) min, with a mean (range) hospital stay of 2.5 (1–8) days. The mean follow-up was 54 days and 91% of patients were stone free on the follow-up CT. Four patients (4%) developed complications: one patient (5%) developed candidaemia, one patient (5%) developed urine leakage that necessitated prolonged stenting and catheterisation, and two patients (9%) developed wound infections. Conclusion: The treatment of urological stones can be challenging, RASS is a promising way to remove kidney stones with high stone-free rates. RASS should be considered as an option to replace open stone surgery.
format	article
author	Mohamad Salkini
author_facet	Mohamad Salkini
author_sort	Mohamad Salkini
title	[23] Utilising the da Vinci® robotic surgical system to treat challenging urinary stones: West Virginia University experience
title_short	[23] Utilising the da Vinci® robotic surgical system to treat challenging urinary stones: West Virginia University experience
title_full	[23] Utilising the da Vinci® robotic surgical system to treat challenging urinary stones: West Virginia University experience
title_fullStr	[23] Utilising the da Vinci® robotic surgical system to treat challenging urinary stones: West Virginia University experience
title_full_unstemmed	[23] Utilising the da Vinci® robotic surgical system to treat challenging urinary stones: West Virginia University experience
title_sort	[23] utilising the da vinci® robotic surgical system to treat challenging urinary stones: west virginia university experience
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/0b93f1853a5d4ea492f8d0d2985810df
work_keys_str_mv	AT mohamadsalkini 23utilisingthedavinciroboticsurgicalsystemtotreatchallengingurinarystoneswestvirginiauniversityexperience
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[23] Utilising the da Vinci® robotic surgical system to treat challenging urinary stones: West Virginia University experience

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