Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 May-Jun;46(3):322-327.
doi: 10.1590/S1677-5538.IBJU.2020.99.03.

Robotics in Pediatric Urology

Molly E Fuchs  1 , Daniel G DaJusta  1
Affiliations
Review

Robotics in Pediatric Urology

Molly E Fuchs et al. Int Braz J Urol. 2020 May-Jun.

Abstract

Robotic surgery has been slow to be fully accepted in the world of pediatric urology largely because of its initial application directed towards adult use and because of the inherent high cost associated with it. However, as previously shown, it has now become the gold standard for adolescent pyeloplasty in The United States. As the adoption of robotic surgery in children has become more widespread, its use has been applied to a broader spectrum of procedures with similar success rates to standard laparoscopy. These procedures include nephrectomy, heminephrectomy, ureteral reimplantation, and ureteroureterostomy. However, it has also shown feasibility and comparable success when compared to open surgery in procedures that were previously deemed too complex to be done by standard laparoscopy. For example, bladder neck reconstruction with Mitrofanoff and Malone procedure as well as bladder augmentation. This review objective is to provide an overview of robotic surgery in pediatric urology, with a focus on the more common cases such as pyeloplasty and reimplantation as well as more complex bladder reconstruction procedures.

Keywords: Laparoscopy; Pediatrics; Robotics.

PubMed Disclaimer

Conflict of interest statement

None declared.

References

    1. Sammon JD, Karakiewicz PI, Sun M, Sukumar S, Ravi P, Ghani KR, et al. Robot-assisted versus open radical prostatectomy: the differential effect of regionalization, procedure volume and operative approach. J Urol. 2013;189:1289–1294. - PubMed
    2. 1. Sammon JD, Karakiewicz PI, Sun M, Sukumar S, Ravi P, Ghani KR, et al. Robot-assisted versus open radical prostatectomy: the differential effect of regionalization, procedure volume and operative approach. J Urol. 2013;189:1289-94. - PubMed
    1. Basiri A, de la Rosette JJ, Tabatabaei S, Woo HH, Laguna MP, Shemshaki H. Comparison of retropubic, laparoscopic and robotic radical prostatectomy: who is the winner? World J Urol. 2018;36:609–621. - PubMed
    2. 2. Basiri A, de la Rosette JJ, Tabatabaei S, Woo HH, Laguna MP Shemshaki H. Comparison of retropubic, laparoscopic and robotic radical prostatectomy: who is the winner? World J Urol. 2018;36:609-21. - PubMed
    1. Kavoussi LR, Peters CA. Laparoscopic pyeloplasty. J Urol. 1993;150:1891–1894. - PubMed
    2. 3. Kavoussi LR, Peters CA. Laparoscopic pyeloplasty. J Urol. 1993;150:1891-4. - PubMed
    1. Mei H, Pu J, Yang C, Zhang H, Zheng L, Tong Q. Laparoscopic versus open pyeloplasty for ureteropelvic junction obstruction in children: a systematic review and meta-analysis. J Endourol. 2011;25:727–736. - PubMed
    2. 4. Mei H, Pu J, Yang C, Zhang H, Zheng L, Tong Q. Laparoscopic versus open pyeloplasty for ureteropelvic junction obstruction in children: a systematic review and meta-analysis. J Endourol. 2011;25:727-36. - PubMed
    1. Varda BK, Wang Y, Chung BI, Lee RS, Kurtz MP, Nelson CP, et al. Has the robot caught up? National trends in utilization, perioperative outcomes, and cost for open, laparoscopic, and robotic pediatric pyeloplasty in the United States from 2003 to 2015. J Pediatr Urol. 2018;14:336.e1–336.e8. - PMC - PubMed
    2. 5. Varda BK, Wang Y, Chung BI, Lee RS, Kurtz MP, Nelson CP, et al. Has the robot caught up? National trends in utilization, perioperative outcomes, and cost for open, laparoscopic, and robotic pediatric pyeloplasty in the United States from 2003 to 2015. J Pediatr Urol. 2018;14:336.e1-336.e8. - PMC - PubMed