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Robot-assisted laparoscopic pyeloplasty in children: a systematic review
Lorenzo Masieri1,2, Simone Sforza3,4, Antonio A Grosso4
1Department of Pediatric Urology, Meyer Hospital, University of Florence, Florence, Italy - lorenzo.masieri@meyer.it.
Summary
Robot-assisted laparoscopic pyeloplasty (RALP) shows high success rates for pediatric uretero-pelvic junction obstruction. This minimally invasive approach is effective for both primary and redo cases in children.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Open pyeloplasty is a traditional treatment for uretero-pelvic junction obstruction.
- Minimally invasive surgery (MIS) is increasingly adopted in pediatric urology.
- Robot-assisted laparoscopic pyeloplasty (RALP) is expanding to younger/lighter children and redo cases.
Purpose of the Study:
- To review primary and redo RALP in children.
- To analyze outcomes across different age groups.
Main Methods:
- Systematic literature review following PRISMA guidelines.
- Included studies on surgical indications, techniques, and outcomes.
- Focused on peri- and postoperative results of primary and redo RALP.
Main Results:
- 33 studies (1448 patients) for primary RALP, 7 studies (101 patients) for redo RALP.
- Primary RALP success rate >90% with low complications.
- Redo RALP showed decreased hydronephrosis in 96% of patients.
Conclusions:
- RALP demonstrates excellent outcomes in pediatric patients.
- Higher quality evidence (trials, prospective studies) is needed.
- New robotic systems may expand RALP applications in children.
