Robotic Pyeloplasty in 2024: Technical Considerations and Approaches

David M. Strauss, MD, focuses on robotic pyeloplasty and highlights its role in managing ureteropelvic junction (UPJ) obstruction through various surgical techniques and approaches.

In this 9-minute presentation, Dr. Strauss shows videos of both transecting and non-transecting approaches. He details positioning and access for robotic surgery, emphasizing replicating setups similar to nephrectomy and using a combination of robotic arms. He notes the flexibility of surgical platforms, including transperitoneal and retroperitoneal approaches.

Strauss underlines the durability of pyeloplasty, the importance of individualized patient care, and the value of mastering multiple surgical approaches to optimize outcomes.

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