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<p>This Letter to the Editor responds to the recent meta-analysis by Gu et al. (J Robot Surg 19(1):436, 2025) comparing robotic-assisted laparoscopic pyeloplasty (RALP) and conventional laparoscopic pyeloplasty (LP) in pediatric patients. While the study confirms comparable safety and operative time between the two techniques, it highlights a shorter hospital stay in the RALP group—albeit at a significantly higher financial cost. The letter emphasizes the need to contextualize surgical choices based on institutional resources, surgeon expertise, and economic feasibility. It also advocates for high-quality prospective studies to evaluate long-term outcomes and cost-effectiveness of RALP, particularly in pediatric populations. By engaging with current evidence and its limitations, this commentary aims to support informed clinical decision-making in pediatric urology.</p>

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Letter to the Editor: evaluating the practical implications of robotic-assisted pyeloplasty in pediatric urology

  • 期刊论文

  • 发表日期：

    2025年8月20日

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  • Aizaz Anwar Khalid,
  • Fawaz-ur-Rehman

摘要

This Letter to the Editor responds to the recent meta-analysis by Gu et al. (J Robot Surg 19(1):436, 2025) comparing robotic-assisted laparoscopic pyeloplasty (RALP) and conventional laparoscopic pyeloplasty (LP) in pediatric patients. While the study confirms comparable safety and operative time between the two techniques, it highlights a shorter hospital stay in the RALP group—albeit at a significantly higher financial cost. The letter emphasizes the need to contextualize surgical choices based on institutional resources, surgeon expertise, and economic feasibility. It also advocates for high-quality prospective studies to evaluate long-term outcomes and cost-effectiveness of RALP, particularly in pediatric populations. By engaging with current evidence and its limitations, this commentary aims to support informed clinical decision-making in pediatric urology.