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Robotic Urologic Surgery in the Infant: a Review
Jeffrey Villanueva1, Mary Killian1, Rajeev Chaudhry2
1Division of Pediatric Urology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Current Urology Reports
|May 20, 2019
Summary
Robotic urologic surgery shows promise in infants for conditions like ureteropelvic junction obstruction. While evidence is strongest for UPJ repair, its role in infant urology is expanding with further research.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic urologic surgery is increasingly explored in pediatric populations.
- Infant anatomy and physiology present unique surgical challenges.
Purpose of the Study:
- To review the current applications of robotic urologic surgery in infants.
- To assess the safety and efficacy across various pediatric urologic conditions.
Main Methods:
- Literature review of studies on robotic urologic surgery in infants.
- Analysis of procedures including UPJ obstruction, VUR, and renal anomalies.
Main Results:
- Robotic surgery has been utilized for UPJ obstruction, VUR, and duplicated/nonfunctional renal moieties in infants.
- Durable evidence for safety and success is most robust for ureteropelvic junction obstruction repair.
- Strategies for adapting robotic techniques to infant anatomy are discussed.
Conclusions:
- Robotic urologic surgery is a viable alternative for select infants with experienced surgical teams.
- Further large-scale studies are needed to clarify the full utility of robotic platforms in pediatric urology.
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