Robotic kidney transplantation(RKT)has brought the benefits of minimally invasive surgery to the field of renal transplantation.Techniques across the globe have varied and there is a need for standardization within ev...Robotic kidney transplantation(RKT)has brought the benefits of minimally invasive surgery to the field of renal transplantation.Techniques across the globe have varied and there is a need for standardization within evidence-based frameworks in order to justify its widespread utilization and ensure safe and effective innovation.A comprehensive literature review was conducted to identify studies reporting on techniques used in RKT between 2010 and 2020.Conference abstracts,published papers and the latest guidelines were reviewed in this rapidly progressing field.Promising results have been demonstrated so far with unique benefits identified for obese patients who would have otherwise been denied an open kidney transplant.Other developments have been found in gasless surgery,scarless surgery,RKT using grafts with multiple vessels and robotic dual kidney transplantation.In order to continue advancing innovation in kidney transplant surgery,further expansion of RKT is needed to deceased donor programs.Progression in the robotic technology itself will also improve technique,and as the financial costs of the technology decrease the use of RKT is set to grow.展开更多
With advancements in laser technology and urological techniques, flexible ureterorenoscopy has emerged as a vital surgical approach for managing stone disease. Various techniques can be employed to customize endourolo...With advancements in laser technology and urological techniques, flexible ureterorenoscopy has emerged as a vital surgical approach for managing stone disease. Various techniques can be employed to customize endourological stone treatments. Despite the continuous evolution of equipment, it remains crucial to comprehend the fundamental steps of the procedure. This paper offers a comprehensive step-by-step guide that integrates the latest advancements in both scopes and lasers. Additionally, it outlines potential pitfalls and strategies to circumvent them, aiming to achieve optimal stone clearance and deliver individualized patient care safely and efficiently.展开更多
文摘Robotic kidney transplantation(RKT)has brought the benefits of minimally invasive surgery to the field of renal transplantation.Techniques across the globe have varied and there is a need for standardization within evidence-based frameworks in order to justify its widespread utilization and ensure safe and effective innovation.A comprehensive literature review was conducted to identify studies reporting on techniques used in RKT between 2010 and 2020.Conference abstracts,published papers and the latest guidelines were reviewed in this rapidly progressing field.Promising results have been demonstrated so far with unique benefits identified for obese patients who would have otherwise been denied an open kidney transplant.Other developments have been found in gasless surgery,scarless surgery,RKT using grafts with multiple vessels and robotic dual kidney transplantation.In order to continue advancing innovation in kidney transplant surgery,further expansion of RKT is needed to deceased donor programs.Progression in the robotic technology itself will also improve technique,and as the financial costs of the technology decrease the use of RKT is set to grow.
文摘With advancements in laser technology and urological techniques, flexible ureterorenoscopy has emerged as a vital surgical approach for managing stone disease. Various techniques can be employed to customize endourological stone treatments. Despite the continuous evolution of equipment, it remains crucial to comprehend the fundamental steps of the procedure. This paper offers a comprehensive step-by-step guide that integrates the latest advancements in both scopes and lasers. Additionally, it outlines potential pitfalls and strategies to circumvent them, aiming to achieve optimal stone clearance and deliver individualized patient care safely and efficiently.
