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How I do it: 3-Suture robotic pyeloplasty: Step-by-step technique.

Alessandro Morlacco·Filippo Carletti·Elisa Tonet·Martina Bruniera·Martina Grossele·Giovanni Betto·Waifro Rigamonti·Fabrizio Dal Moro
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Abstract

Robot-assisted pyeloplasty is now a gold standard in the treatment of pediatric ureteropelvic junction obstruction. We describe a standardized "3-suture" technique designed to facilitate the pyelo-ureteral anastomosis. We used this technique in 65 paediatric patients aged 3-17 years. Early major complications (Clavien-Dindo grade III) occurred in 3 patients (4.6%). The median operative time was 150 min. Surgical success was achieved in 96% of cases at a median follow-up of 9.5 months. This 3-suture approach offers a highly reproducible method for robotic pyeloplasty, facilitating accurate anatomical reconstruction with excellent surgical outcomes.

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HumansUreteral ObstructionChild, PreschoolChildRobotic Surgical ProceduresKidney PelvisAdolescentSuture TechniquesFemaleMaleAnastomosis, SurgicalUrologic Surgical ProceduresTreatment OutcomeRetrospective StudiesUreterAnastomosisHydronephrosisPaediatricsRobotic pyeloplastySurgical techniqueUreteropelvic junction obstructionJournal Article

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Alessandro Morlacco, Filippo Carletti, Elisa Tonet, Martina Bruniera, Martina Grossele, Giovanni Betto, Waifro Rigamonti, Fabrizio Dal Moro. 2026-06-06. How I do it: 3-Suture robotic pyeloplasty: Step-by-step technique.. https://doi.org/10.1016/j.jpurol.2026.106076

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