Robot ‑assisted laparoscopic extra-vesical ureteral reimplantation (ralur/revur) for pediatric vesicoureteral reflux: a systematic review of literature

This literature review aimed to assess the outcomes of robot-assisted laparoscopic extra-vesical ureteral reimplantation (RALUR/REVUR) in standard, complex and re-operative cases.Twenty-two studies (period 2008-2019) containing 1362 children receiving RALUR/REVUR, were included. Unilateral repair was faster compared to bilateral (p=0.0000). The overall patient success rate was 92%. The mean post-operative complications rate was 10.7%. The mean re-operations rate was 3.9%.The available data show that RALUR/REVUR can be a first line surgical approach for pediatric VUR at most centers with the caveat that learning curves for the surgeons are expected as with most new surgical procedures.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research