Robotic-assisted laparoscopic ureterocalicostomy (RALUC): a systematic review of its applications - Summary - MDSpire

Robotic-assisted laparoscopic ureterocalicostomy (RALUC): a systematic review of its applications

  • By

  • Theodoros Spinos

  • Panagiotis Kallidonis

  • Vasileios Tatanis

  • Kristiana Gkeka

  • Angelis Peteinaris

  • Anja Dietel

  • Ho Thi Phuc

  • Doreen Trebst

  • Stefan Siemer

  • Toni Franz

  • Evangelos Liatsikos

  • Jens-Uwe Stolzenburg

  • December 17, 2025

  • 0 min

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Objective:

To summarize the applications of robotic-assisted laparoscopic ureterocalicostomy (RALUC) in treating complex ureteral conditions in both adults and children.

Key Findings:
  • Eight studies met inclusion criteria, with patient numbers ranging from 4 to 24.
  • Studies included both adult and pediatric populations, with most being case-series.
  • The robotic systems used were not consistently defined across studies, affecting comparability.
Interpretation:

RALUC is emerging as a viable option for complex ureteral conditions, although the evidence base is limited and primarily consists of case-series, which may affect its generalizability.

Limitations:
  • Most studies were non-comparative and had small sample sizes, which may limit the reliability of the findings.
  • The robotic systems used were not always specified, limiting generalizability.
Conclusion:

RALUC shows promise in treating specific ureteral conditions, but further research with larger, comparative studies is needed to establish its efficacy and safety, particularly in diverse patient populations.

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