robotic-assisted laparoscopic management of vesicoureteral reflux机器人腹腔镜膀胱输尿管的返流的管理.pdf

Hindawi Publishing Corporation Advances in Urology Volume 2008, Article ID 732942, 4 pages doi:10.1155/2008/732942 Research Article Robotic-Assisted Laparoscopic Management of Vesicoureteral Reflux Thomas Lendvay Division of Pediatric Urology, Children’s Hospital and Regional Medical Center, University of Washington, 4800 Sand Point Way, NE, Seattle, WA 98102, USA Correspondence should be addressed to Thomas Lendvay, thomas.lendvay@ Received 1 April 2008; Accepted 12 June 2008 Recommended by Hiep Nguyen Robotic-assisted laparoscopy (RAL) has become a promising means for performing correction of vesicoureteral reflux disease in children through both intravesical and extravesical techniques. We describe the importance of patient selection, intraoperative patient positioning, employing certain helpful techniques for exposure, and recognizing the limitations and potential complications of robotic reimplant surgery. As more clinicians embrace robotic surgery and more urology residents are trained in robotics, we anticipate an expansion of the applications of robotics in children. We believe that it is necessary to develop robotic surgery curricula for novice roboticists and residents so that patients may experience improved surgical outcomes. Copyright © 2008 Thomas Lendvay. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 1. BACKGROUND 10X visual magnification and three-dimensional visualiza- tion, and the ergonomic considerations of the