Laparoscopic computer‐assisted pyeloplasty: the results of experimental surgery in pigs

Abstract

The attraction of using the Da Vinci TM robotic system is considerable, despite the great costs involved. The three‐dimensional view and the wide degree of freedom of movement allows, as we are told, a procedure which can be learned more quickly than standard laparoscopic surgery. The authors from France describe their early experience with the technique and provide an overview of other robotic methods. OBJECTIVE To evaluate the experimental feasibility of laparoscopic computer‐assisted pyeloplasty for pelvi‐ureteric junction obstruction. MATERIALS AND METHODS Fourteen pyeloplasties were undertaken in pigs using a laparoscopic transperitoneal approach and the robotic surgical system (da Vinci TM , Intuitive Surgical Inc., Sunnyvale, CA, USA). RESULTS The robotic surgical system provides real‐time three‐dimensional stereoscopic vision. Manipulating the intracorporeal endo‐wristed instruments from a remote console allows laparoscopic manoeuvres that are as easy as those during open surgery. Surgeons with no particular experience in laparoscopic surgery could learn complex surgery easily and quickly. CONCLUSION This technique provides faster training and the possibility of undertaking complex laparoscopic procedures, especially reconstructive, with less fatigue for the surgeon.