Early post-operative outcomes of robot-assisted pyeloplasty in patients with unilateral ureteropelvic junction obstruction

Rashid Ali; Rehan Mohsin; Ayesha Khan; Asad Shahzad Hassan; Shoukat Ali; Altaf Hashmi; Muhammad Faizan

doi:10.1007/s11255-024-04010-y

Early post-operative outcomes of robot-assisted pyeloplasty in patients with unilateral ureteropelvic junction obstruction

Int Urol Nephrol. 2024 Mar 28. doi: 10.1007/s11255-024-04010-y. Online ahead of print.

Authors

Rashid Ali¹, Rehan Mohsin¹, Ayesha Khan¹, Asad Shahzad Hassan¹, Shoukat Ali¹, Altaf Hashmi¹, Muhammad Faizan²

Affiliations

¹ Sindh Institute of Urology and Transplant (SIUT), Karachi, Pakistan.
² The Aga Khan University, Karachi, Pakistan. muhammadfaizan1131@gmail.com.

PMID: 38549000
DOI: 10.1007/s11255-024-04010-y

Abstract

Introduction: Ureteropelvic junction obstruction (UPJO) is a commonly encountered abnormality and it can lead to serious consequences such as renal dysplasia eventually resulting in loss of kidney. Hence, early diagnosis and timely management remains the cornerstone of the treatment. The most anticipated technique amongst modern day urologist is the robot-assisted laparoscopic pyeloplasty (RALP). The study aims to determine early post-operative outcomes of robot-assisted laparoscopic transperitoneal pyeloplasty procedure in patients presenting with unilateral ureteropelvic junction obstruction to establish the local perspective.

Methodology: This is a descriptive study involving patients with ureteropelvic junction obstruction in a tertiary care facility in Karachi; Sindh Institute of Urology and Transplant (SIUT). A total of 46 participants were recruited. Robot-assisted laparoscopic transperitoneal dismembered Hynes-Anderson pyeloplasty was performed by a single surgeon with over 3 years of experience in the presence of the researcher. Early postoperative outcome total operative time, length of hospital stay, console time and blood loss were noted by the researcher as per operational definition. Data were analyzed on SPSS Version 22.

Results: Mean age in our study was 46.51 years with the standard deviation of ± 10.87. Whereas, mean length of hospital stay, total operative time, total blood loss, console time, pre-hemoglobin, posthemoglobin, height, weight and BMI in our study was 1.19 ± 0.40 days, 64.58 ± 17.59 min, 9.56 ± 6.13 ml, 30.17 ± 4.99 min, 12.66 ± 1.47 ml, 11.79 ± 1.93 ml, 165.62 ± 8.23 cm, 68.34 ± 8.23 kg and 24.85 ± 3.34 kg/m², respectively.

Conclusion: Recent advancements in technology have yielded the latest RALP technique which has been proven significantly better than existing approaches and similar results are reported by this study demonstrating improvement in peri-operative and post-operative outcomes ultimately ameliorating the quality of life of patients with UPJO.

Keywords: Pyeloplasty; RALP; Robot-assisted laparoscopic pyeloplasty; Ureteropelvic junction obstruction.