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Updated: Jun 17, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

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

Published on: March 27, 2026

Laparoscopic versus robotic pyeloplasty: man versus machine.

Mohamed A Atalla1, Zach Dovey, Louis R Kavoussi

  • 1The Smith Institute for Urology, Hofstra University Medical School, North Shore - LIJ Health System, 450 Lakeville Road, Suite M41, New Hyde Park, NY 11040, USA. atalla@att.net

Expert Review of Medical Devices
|December 22, 2009
PubMed
Summary
This summary is machine-generated.

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Ureteropelvic junction obstruction (UPJO) treatment has evolved from open surgery to laparoscopic and robotic approaches. This review examines the clinical, academic, and economic evidence comparing these advanced UPJO surgical techniques.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Technology

Background:

  • Ureteropelvic junction obstruction (UPJO) presents diverse clinical scenarios, historically managed with Anderson-Hynes dismembered pyeloplasty.
  • Minimally invasive techniques, including laparoscopic and robotic surgery, have emerged as alternatives to open pyeloplasty over the past two decades.
  • The debate between laparoscopic and robotic approaches for UPJO lacks robust, prospective comparative data.

Purpose of the Study:

  • To review the existing literature on surgical treatments for ureteropelvic junction obstruction.
  • To compare laparoscopic and robotic pyeloplasty based on clinical, academic, and economic factors.
  • To provide a perspective on the current landscape of UPJO surgical management.

Main Methods:

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  • Comprehensive literature review of studies comparing open, laparoscopic, and robotic pyeloplasty.
  • Analysis of clinical outcomes, complication rates, and patient recovery data.
  • Evaluation of academic and economic considerations for each surgical approach.

Main Results:

  • Laparoscopic and robotic pyeloplasty are increasingly utilized, challenging the traditional open approach.
  • Evidence directly comparing laparoscopic and robotic techniques is limited and often lacks prospective, matched cohorts.
  • The choice between laparoscopic and robotic surgery involves multifaceted considerations beyond surgical efficacy.

Conclusions:

  • The evolution of UPJO treatment highlights a shift towards minimally invasive options.
  • Further high-quality, comparative studies are needed to definitively establish the superiority of robotic over laparoscopic pyeloplasty.
  • A balanced assessment of clinical, academic, and economic factors is crucial for selecting the optimal UPJO surgical strategy.