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Front. Pediatr. | doi: 10.3389/fped.2019.00004

PEDIATRIC ROBOTIC ASSISTED PYELOPLASTY: THE NEW GOLD STANDARD?

 Marcos R. Perez-Brayfield1, 2*, Marcos R. Perez-Marchan3 and  Ramphis Morales-Lopez1
  • 1School of Medicine, University of Puerto Rico, Puerto Rico
  • 2HIMA San Pablo, Puerto Rico
  • 3Central University of the Caribbean, Puerto Rico

Robotic surgery in pediatric urology has been gaining popularity since its introduction almost two decades ago. Robotic assisted pyeloplasty is the most commonly robotic procedure performed in pediatric urology. Advances in robotic technology, instrumentation, patient care and surgical expertise have allowed the correction of ureteropelvic junction (UPJ) obstruction in most patients using this minimally invasive technique. The excellent experience with robotic assisted pyeloplasty has challenged other approaches as a new gold standard for the treatment of UPJ obstruction. In this review, we will describe the technique as it relates to the different robotic platforms, review the surgical experience and compare its results to other surgical approaches. Also, we will discuss patient and parent satisfaction, cost and financial considerations, along with evaluating the future of robotic surgery in the treatment of UPJ obstruction.

Keywords: robotic surgery, pyeloplasty, UPJ obstruction, minimally invasive surgery, pediatric urology

Received: 20 Nov 2018; Accepted: 09 Jan 2019.

Edited by:

Miguel A. Castellan, University of Miami, United States

Reviewed by:

ASEEM R. SHUKLA, Children's Hospital of Philadelphia, United States
Baran Tokar, Eskişehir Osmangazi University, Turkey  

Copyright: © 2019 Perez-Brayfield, Perez-Marchan and Morales-Lopez. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Marcos R. Perez-Brayfield, School of Medicine, University of Puerto Rico, San Juan, Puerto Rico, mperezb1@yahoo.com