Is secondary robotic pyeloplasty safe and effective as primary robotic pyeloplasty? A systematic review and meta-analysis

Comment on: Dirie NI, Ahmed MA, Wang S. Is secondary robotic pyeloplasty safe and effective as primary robotic pyeloplasty? A systematic review and meta-analysis. J Robotic Surg 2020;14:241–8

“…Hydronephrosis is also hard to interpret since residual dilation might be confounded with obstruction. In this way, a comparison of outcomes between studies could be impaired, as pointed by Dire et al [1]. Robot-assisted pyeloplasty is here to stay.…”

“…We read with interest the recent meta-analysis by Dire et al [1], evaluating the outcomes of robotic pyeloplasty in primary and secondary UPJO. Robotic surgery offers obvious advantages for challenging reconstructive surgeries, such as redo pyeloplasties.…”

Minimal Invasive Treatment in Pelvic-Ureteric Junction Obstruction: A Comprehensive Review

“…Furthermore, the introduction of the Single Port system which allowed a full 360° rotation of the robotic arm around the cannula raised even more interest. 43 Surgical precision and extended maneuverability provided by the robotic system were amongst the main advantages of this approach, which facilitated better dissection, thus reducing blood loss and increasing suture quality. 44 In addition, with a success rate ranging from 94% to 100%, robotic pyeloplasty was also effective in children underwent secondary pyeloplasty and complex procedure such as in ureterocalicostomy for recurrent PUJO or intrarenal uretero-pelvic junction.…”

“…Furthermore, the introduction of the Single Port system which allowed a full 360° rotation of the robotic arm around the cannula raised even more interest. 43 Surgical precision and extended maneuverability provided by the robotic system were amongst the main advantages of this approach, which facilitated better dissection, thus reducing blood loss and increasing suture quality. 44 In addition, with a success https://doi.org/10.2147/RRU.S268569…”

Primary hyperoxaluria type 1: urologic and therapeutic management

“…We caution that while there is no literature specific to revision pediatric laparoscopic renal surgery for stones, both experience and extrapolation from similar cases show clearly that reoperative renal surgery in children carries additional risk. Reoperative robotic pyeloplasty in children takes longer and has a longer associated length-of-stay [ 3 , 4 ], as well as a higher rate of complications than comparable series of primary cases [ 4 , 5 ]. Similarly, the stone procedures reported are largely in older children and teens [ 1 , 2 ]; patients with PH often present as infants and toddlers, creating additional surgical challenge and risk.…”