Cargando…

Robotic-assisted pyeloplasty in children: a systematic review of the literature

Robotic pyeloplasty has become a natural progression from the development of open, then laparoscopic procedures to treat pediatric patients with ureteropelvic junction obstruction (UPJO). Robotic-assisted pyeloplasty (RALP) is now considered a new gold standard in pediatric MIS. A systematic review...

Descripción completa

Detalles Bibliográficos
Autores principales: Esposito, Ciro, Cerulo, Mariapina, Lepore, Benedetta, Coppola, Vincenzo, D’Auria, Daniela, Esposito, Giorgia, Carulli, Roberto, Del Conte, Fulvia, Escolino, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer London 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374693/
https://www.ncbi.nlm.nih.gov/pubmed/36913057
http://dx.doi.org/10.1007/s11701-023-01559-1
_version_ 1785078830297251840
author Esposito, Ciro
Cerulo, Mariapina
Lepore, Benedetta
Coppola, Vincenzo
D’Auria, Daniela
Esposito, Giorgia
Carulli, Roberto
Del Conte, Fulvia
Escolino, Maria
author_facet Esposito, Ciro
Cerulo, Mariapina
Lepore, Benedetta
Coppola, Vincenzo
D’Auria, Daniela
Esposito, Giorgia
Carulli, Roberto
Del Conte, Fulvia
Escolino, Maria
author_sort Esposito, Ciro
collection PubMed
description Robotic pyeloplasty has become a natural progression from the development of open, then laparoscopic procedures to treat pediatric patients with ureteropelvic junction obstruction (UPJO). Robotic-assisted pyeloplasty (RALP) is now considered a new gold standard in pediatric MIS. A systematic review of the literature retrieved from PubMed and published in the last 10 years (2012–2022) was performed. This review underlines that in all children except the smallest infants, where the open procedure has benefits in terms of duration of general anesthetic and there are limitations in the size of instruments, robotic pyeloplasty is becoming the preferred procedure to perform in patients with UPJO. Results for the robotic approach are extremely promising, with shorter operative times than laparoscopy and equal success rates, length of stay and complications. In case of redo pyeloplasty, RALP is easier to perform than other open or MIS procedures. By 2009, robotic surgery became the most used modality to treat all UPJO and continues to grow in popularity. Robot-assisted laparoscopic pyeloplasty in children is safe and effective with excellent outcomes, even in redo pyeloplasty or challenging anatomical cases. Moreover, robotic approach shortens the learning curve for junior surgeons, who can readily achieve levels of expertise comparable to senior practitioners. However, there are still concerns regarding the cost associated with this procedure. Further high-quality prospective observational studies and clinical trials, as well as new technologies specific for the pediatric population, are advisable for RALP to reach the level of gold standard.
format Online
Article
Text
id pubmed-10374693
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Springer London
record_format MEDLINE/PubMed
spelling pubmed-103746932023-07-29 Robotic-assisted pyeloplasty in children: a systematic review of the literature Esposito, Ciro Cerulo, Mariapina Lepore, Benedetta Coppola, Vincenzo D’Auria, Daniela Esposito, Giorgia Carulli, Roberto Del Conte, Fulvia Escolino, Maria J Robot Surg Review Robotic pyeloplasty has become a natural progression from the development of open, then laparoscopic procedures to treat pediatric patients with ureteropelvic junction obstruction (UPJO). Robotic-assisted pyeloplasty (RALP) is now considered a new gold standard in pediatric MIS. A systematic review of the literature retrieved from PubMed and published in the last 10 years (2012–2022) was performed. This review underlines that in all children except the smallest infants, where the open procedure has benefits in terms of duration of general anesthetic and there are limitations in the size of instruments, robotic pyeloplasty is becoming the preferred procedure to perform in patients with UPJO. Results for the robotic approach are extremely promising, with shorter operative times than laparoscopy and equal success rates, length of stay and complications. In case of redo pyeloplasty, RALP is easier to perform than other open or MIS procedures. By 2009, robotic surgery became the most used modality to treat all UPJO and continues to grow in popularity. Robot-assisted laparoscopic pyeloplasty in children is safe and effective with excellent outcomes, even in redo pyeloplasty or challenging anatomical cases. Moreover, robotic approach shortens the learning curve for junior surgeons, who can readily achieve levels of expertise comparable to senior practitioners. However, there are still concerns regarding the cost associated with this procedure. Further high-quality prospective observational studies and clinical trials, as well as new technologies specific for the pediatric population, are advisable for RALP to reach the level of gold standard. Springer London 2023-03-13 2023 /pmc/articles/PMC10374693/ /pubmed/36913057 http://dx.doi.org/10.1007/s11701-023-01559-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review
Esposito, Ciro
Cerulo, Mariapina
Lepore, Benedetta
Coppola, Vincenzo
D’Auria, Daniela
Esposito, Giorgia
Carulli, Roberto
Del Conte, Fulvia
Escolino, Maria
Robotic-assisted pyeloplasty in children: a systematic review of the literature
title Robotic-assisted pyeloplasty in children: a systematic review of the literature
title_full Robotic-assisted pyeloplasty in children: a systematic review of the literature
title_fullStr Robotic-assisted pyeloplasty in children: a systematic review of the literature
title_full_unstemmed Robotic-assisted pyeloplasty in children: a systematic review of the literature
title_short Robotic-assisted pyeloplasty in children: a systematic review of the literature
title_sort robotic-assisted pyeloplasty in children: a systematic review of the literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374693/
https://www.ncbi.nlm.nih.gov/pubmed/36913057
http://dx.doi.org/10.1007/s11701-023-01559-1
work_keys_str_mv AT espositociro roboticassistedpyeloplastyinchildrenasystematicreviewoftheliterature
AT cerulomariapina roboticassistedpyeloplastyinchildrenasystematicreviewoftheliterature
AT leporebenedetta roboticassistedpyeloplastyinchildrenasystematicreviewoftheliterature
AT coppolavincenzo roboticassistedpyeloplastyinchildrenasystematicreviewoftheliterature
AT dauriadaniela roboticassistedpyeloplastyinchildrenasystematicreviewoftheliterature
AT espositogiorgia roboticassistedpyeloplastyinchildrenasystematicreviewoftheliterature
AT carulliroberto roboticassistedpyeloplastyinchildrenasystematicreviewoftheliterature
AT delcontefulvia roboticassistedpyeloplastyinchildrenasystematicreviewoftheliterature
AT escolinomaria roboticassistedpyeloplastyinchildrenasystematicreviewoftheliterature