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Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Pediatric robot-assisted laparoscopic varicocelectomy.

Josephine Hidalgo-Tamola¹, Mathew D Sorensen, Jeff B Bice

¹Department of Urology, University of Washington, Seattle, WA 98195, USA.

Journal of Endourology

|August 6, 2009

Summary

Robot-assisted laparoscopic varicocelectomy (RALV) is a feasible and safe procedure for pediatric patients, showing no complications. However, robot-assisted laparoscopic varicocelectomy (RALV) is more expensive than traditional laparoscopic varicocelectomy (LV).

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Area of Science:

Urology
Pediatric Surgery
Minimally Invasive Surgery

Background:

Varicocelectomy is a common procedure for adolescents.
Laparoscopic varicocelectomy (LV) is a minimally invasive approach.
Robot-assisted laparoscopic varicocelectomy (RALV) offers potential advantages in precision.

Purpose of the Study:

To determine the feasibility and safety of robot-assisted laparoscopic varicocelectomy (RALV) in pediatric patients.
To compare RALV with traditional laparoscopic varicocelectomy (LV) in terms of outcomes and costs.

Main Methods:

Retrospective review of patients undergoing RALV since 2006.
Comparison with age-matched controls who underwent LV.
Analysis of operative times, postoperative complications, and hospital charges.

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Main Results:

Four pediatric patients underwent RALV with no intraoperative or postoperative complications.
Mean operative time for RALV was 112 minutes versus 73 minutes for LV (P=0.02).
Mean hospital charges were significantly higher for RALV ($15,800) compared to LV ($8,600) (P=0.0005).

Conclusions:

Robot-assisted laparoscopic varicocelectomy (RALV) is technically feasible and safe in pediatric patients.
RALV demonstrated no intraoperative complications in this initial series.
The cost-effectiveness of RALV compared to LV requires further investigation.