A total of 30 procedures were performed (16 single:14 multi-port). We reviewed all consecutive robotic pyeloplasties by a single surgeon from January 2011 to August 2015. multiple-incision pyeloplasty using the da Vinci robotic system. We compared the outcomes of single-incision, robot-assisted laparoscopic pyeloplasty vs. Also, the high cost of surgical robotic technology mandates critical appraisal before adoption, especially in a publicly funded health care system, such as the one present in Canada. However, the intersect between feasibility and necessity as it pertains to robotic renal surgery has yet to be defined. Robot-assisted techniques have been described for almost all renal-related procedures. Feasibility has been shown for each of these procedures. Fifty-one clinical articles were included, encompassing robot-assisted pyeloplasty, nephrectomy, nephroureterectomy, living-donor nephrectomy and partial nephrectomy.

All clinically related articles involving human participants were critically appraised in this review. A comprehensive PubMed literature search was performed to identify all published reports relating to robotic renal surgery. Herein we review the literature on robotic renal surgery. Although radical prostatectomy has grown to become the prototypical application for the robot, the role of the robot in renal surgery remains controversial. In no other discipline has this rapid evolution occurred to a greater degree than in urology. The development, advancement and clinical integration of robotic technology in surgery continue at a staggering pace.

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