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Robotic single site left dismembered pyeloplasty for ureteropelvic junction obstruction

Epublication WebSurg.com, Apr 2014;14(04). URL: http://websurg.com/doi/vd01en4223

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  • 2014-04-04
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This video demonstrates the surgical steps for a left ureteropelvic junction (UPJ) reconstruction performed by means of the new da Vinci® robotic single site platform. This surgery can be achieved by a 2cm single incision made in the umbilicus. The system provides 2 robotic instruments crossing into the trocar in order to have an adequate triangulation. In this set-up, the left robotic instrument is placed into the surgical field on the right side while the right robotic instrument is on the left side of the surgical field. The software of the da Vinci™ system allows for the control of the right robotic arm to the left master into the robotic console in order to have the instrument placed in the right part of the surgical field controlled by the right master. This allows for a direct and natural control of the instruments, hence solving the problem of the crossing of the instruments. This is a great advantage when compared to standard laparoscopic single site surgery.