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Updated: Feb 6, 2026

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Robotic stone surgery - Current state and future prospects: A systematic review.

Philippe F Müller1, Daniel Schlager1, Simon Hein1

  • 1Department of Urology, Faculty of Medicine, University of Freiburg, Medical Centre, Freiburg, Germany.

Arab Journal of Urology
|August 25, 2018
PubMed
Summary

Robot-assisted surgery shows promise in urolithiasis treatment, with robot-assisted pyelolithotomy demonstrating comparable outcomes to traditional methods. Further research is needed to fully understand robotic approaches in stone surgery.

Keywords:
(f)URS, (flexible) ureterorenoscopyEAU, European Association of UrologyESUT, European section of Uro-TechnologyEULIS, EAU Section of UrolithiasisEndourologyNephrolithiasisPCNL, percutaneous nephrolithotomyRIRS, retrograde intrarenal surgeryRobotic stone surgerySFR, stone-free rateSWL, shockwave lithotripsyStone diseaseUrolithiasis

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Area of Science:

  • Urology
  • Robotic Surgery
  • Minimally Invasive Procedures

Background:

  • Urolithiasis management traditionally involves endourological, laparoscopic, and open surgical techniques.
  • Robot-assisted surgery is emerging as a novel approach in stone surgery.

Purpose of the Study:

  • To comprehensively review robot-assisted surgery in urolithiasis.
  • To explore future prospects of robotic approaches in stone surgery.

Main Methods:

  • Systematic PubMed literature search for clinical research on robotic stone surgery.
  • Eligibility screening and data extraction by independent reviewers.

Main Results:

  • Robot-assisted pyelolithotomy (da Vinci™ system) shows comparable results to laparoscopic and open surgery.
  • Promising feasibility, high stone-free rates, and patient safety reported for robotic intrarenal surgery (Roboflex Avicenna™).

Conclusions:

  • Benefits of robotic devices in urolithiasis treatment require further elucidation.
  • More prospective randomized controlled studies are necessary to confirm the impact on patient safety and stone-free rates.