Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.


RAL-P in infants: expert tips for success

Andolfi et al. report on the largest single-institution case series of robot-assisted laparoscopic pyeloplasty (RAL-P) in infants. Transitioning from RAL-P in older children to infants seems to have more to do with patient and port positioning, instrument size and intra-abdominal space than robotic surgical technique.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.


  1. 1.

    Guthart, G. J.P. Morgan Healthcare Conference 2021. Intuitive Surgical (2021).

  2. 2.

    Andolfi, C., Rodríguez, V. M., Galansky, L. & Gundeti, M. S. Infant robot-assisted laparoscopic pyeloplasty: outcomes at a single institution, and tips for safety and success. Eur. Urol. (2021).

    Article  PubMed  Google Scholar 

  3. 3.

    Kim, S. J., Barlog, J. S. & Akhavan, A. Robotic-assisted urologic surgery in infants: positioning, trocar placement, and physiological considerations. Front. Pediatr. 6, 411 (2019).

    Article  Google Scholar 

  4. 4.

    Baek, M. et al. Does the use of 5 mm instruments affect the outcomes of robot-assisted laparoscopic pyeloplasty in smaller working spaces? A comparative analysis of infants and older children. J. Pediatr. Urol. 14, 537.e1–537.e6 (2018).

    Article  Google Scholar 

  5. 5.

    Bansal, D. et al. Infant robotic pyeloplasty: comparison with an open cohort. J. Pediatr. Urol. 10, 380–385 (2014).

    Article  CAS  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Marie-Klaire Farrugia.

Ethics declarations

Competing interests

The author declares no competing interests.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Farrugia, MK. RAL-P in infants: expert tips for success. Nat Rev Urol 18, 641–642 (2021).

Download citation


Quick links