Advances in robotic surgery for pediatric ureteropelvic junction obstruction and vesicoureteral reflux: history, present, and future.

Abstract:

PURPOSE:The introduction of robotic surgical technology into urological reconstruction, particularly pediatrics, has introduced new horizons for reducing the morbidity and enhancing the efficacy of surgical repair of congenital conditions in children. In reviewing the evolution of pediatric urological applications of robotic surgery, we wanted to address the different levels of reported utilization of pyeloplasty and ureteral reimplantation as two of the most common procedures. METHODS:Review of the published literature sought to explore the described variation in clinical application of these two common procedures, and the evolution of the practice over time. RESULTS:Reported outcomes suggest that variations in patient selection, the learning curve and in reporting of outcomes all contribute to the wide variation in utilization of pediatric robotic pyeloplasty and ureteral reimplantation. CONCLUSIONS:These technologies are demonstrating their potential as well as the challenges of use in children and there is a steady evolution of capability. Practitioners should be aware of both the possibilities as well as the risks of such new technology in the care of our patients. This requires thorough and open reporting of outcomes, the willingness to introduce change and integrate new findings into practice.

journal_name

World J Urol

journal_title

World journal of urology

authors

Satyanarayan A,Peters CA

doi

10.1007/s00345-019-02753-3

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

1821-1826

issue

8

eissn

0724-4983

issn

1433-8726

pii

10.1007/s00345-019-02753-3

journal_volume

38

pub_type

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