title: The laparoscopic pyeloplasty: is there a role in the age of robotics?
abstract: Ureteropelvic junction (UPJ) obstruction is a common anomaly, and presents clinically in all pediatric age groups. The past 3 decades have witnessed an evolution in the surgical correction of UPJ obstruction on several fronts, with open surgical techniques yielding way to endoscopic, laparoscopic, and robotic-assisted approaches. Robotic-assisted surgery has several advantages in complex laparoscopic reconstructive procedures such as pyeloplasty. Comparative studies of laparoscopic and robot-assisted repairs have demonstrated similar success rates. Laparoscopic pyeloplasty is here to stay because of its advantages of safety, efficacy, decreased morbidity, reduced hospital stay, and, perhaps most importantly, cost-effectiveness.
authors.affiliation: Division of Pediatric Urology, Department of Urology, KLES Kidney Foundation, KLES Dr Prabhakar Kore Hospital and MRC, KLES University's JN Medical College, Belgaum 590010, India. Electronic address: director@kleskf.org.
authors.forename: Mallikarjun N
authors.initials: MN
authors.lastname: Reddy
authors.affiliation: Division of Pediatric Urology, Department of Urology, KLES Kidney Foundation, KLES Dr Prabhakar Kore Hospital and MRC, KLES University's JN Medical College, Belgaum 590010, India.
authors.forename: Rajendra B
authors.initials: RB
authors.lastname: Nerli
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D007223:Infant; D007682:Kidney Pelvis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D021782:Multicystic Dysplastic Kidney / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology; D065287:Robotic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*
keywords: Da Vinci surgery; Laparoscopy; Minimally invasive surgery; Pediatrics; Robotic surgery; Ureteropelvic junction obstruction