Robot‑Assisted Laparoscopic Extra-Vesical Ureteral Reimplantation (Ralur/Revur) for Pediatric Vesicoureteral Reflux: A Systematic Review of Literature

Urology. 2021 Oct:156:e1-e11. doi: 10.1016/j.urology.2021.06.043. Epub 2021 Jul 26.

Abstract

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 = .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 vesicoureteral reflux at most centers with the caveat that learning curves for the surgeons are expected as with most new surgical procedures.

Publication types

  • Systematic Review

MeSH terms

  • Child
  • Humans
  • Laparoscopy*
  • Replantation / methods*
  • Robotic Surgical Procedures*
  • Ureter / surgery*
  • Vesico-Ureteral Reflux / surgery*