da Vinci® (Pyeloplasty) Surgery
If a doctor diagnoses you or a loved one with a urinary obstruction, surgery to remove the blockage may be recommended. This type of surgery is called pyeloplasty. Doctors remove the blockage in the urinary system and reattach the healthy part of the kidney to the healthy part of the ureter (tubes that carry urine from the kidneys to the bladder).
If surgery is recommended, ask your doctor about minimally invasive da Vinci Surgery.
Why da Vinci Surgery?
Instead of a large abdominal incision used in open surgery, da Vinci surgeons make a few small incisions - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.
As a result of da Vinci technology, da Vinci Pyeloplasty offers the following potential benefits compared to traditional open surgery:
- Shorter hospital stay1
- Less need for narcotic pain medicine1
As a result of da Vinci technology, da Vinci Pyeloplasty offers the following potential benefits compared to traditional laparoscopy:
- Less blood loss2
- Shorter total operating time2
- Shorter hospital stay2
- Faster return to normal activities2
State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.
Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci - changing the experience of surgery for people around the world.
Risks & Considerations Related to Pyeloplasty & da Vinci Surgery
Potential risks of any pyeloplasty procedure include:
- Urinary leak
- Recurrence of obstruction
In addition, there are risks related to minimally invasive surgery, including da Vinci Pyeloplasty, such as hernia (bulging tissue/organ) at incision site.3
- Lee R, Retik A, Borer J, Peters C; Pediatric Robot Assisted Laparoscopic Dismembered Pyeloplasty: Comparison With a Cohort of Open Surgery. The Journal of Urology, Vol. 175, 683-687, February 2006
- Hemal AK, Mukherjee S, Singh K; Laparoscopic pyeloplasty versus robotic pyeloplasty ureteropelvic junction obstruction: a series of 60 cases performed by a single surgeon.
- Braga LH, Pace K, DeMaria J, Lorenzo AJ. Systematic review and meta-analysis of robotic-assisted versus conventional laparoscopic pyeloplasty for patients with ureteropelvic junction obstruction: effect on operative time, length of hospital stay, postoperative complications, and success rate. Eur Urol. 2009 Nov;56(5):848-57. doi: 10.1016/j.eururo.2009.03.063. Epub 2009 Apr 1.
PN 1002475 Rev A 04/2013
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.
Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.
Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci® Surgery. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.davincisurgery.com/safety and www.intuitivesurgical.com/safety. Unless otherwise noted, all people depicted are models.
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If you have questions about the da Vinci® Surgical System or about surgical procedures conducted with the da Vinci Surgical System, consult a surgeon that has experience with the da Vinci Surgical System. A list of surgeons that have experience with the da Vinci Surgical System can be found in the Surgeon Locator.