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Robotic kidney stone surgery: clearance rates vary across studies

A review reported a high pooled stone-clearance rate after robotic procedures, but definitions varied and the abstract provides no comparison showing an advantage over another treatment.

By 100HP editorialAbstract-based explanation checked

Based on the published abstract. The full paper may contain additional methods, results and limitations.

The 30-second takeaway

The review combined reports of robotic flexible ureteroscopy for urinary stones and found that most treated cases met the studies' definitions of being stone-free. However, results varied substantially, and some definitions allowed small remaining fragments. The pooled rate alone cannot establish superiority over another procedure or describe all treatment outcomes.

Keep in mind

The abstract gives no direct treatment comparison, follow-up timing, or complication results. Variation in stone-free definitions and study results limits interpretation of the pooled rate.

THE NUMBERS, WITH CONTEXT

What researchers found

86.0% pooled stone-free rate

Reported stone clearance after robotic procedures

Study rates ranged from 57.7 to 96.5%. Definitions varied; follow-up timing and a treatment comparator were not reported.

World J Urol, 2025 · Original source ↓

What was combined

The review included several robotic systems rather than a single platform. A pooled rate summarizes these reports together, while the wide range of individual study results shows that the same outcome was not observed consistently.

What stone-free meant

Some studies required complete removal of stones; others counted remaining fragments smaller than 2 mm as stone-free. These definitions describe different endpoints, which matters when interpreting a combined clearance rate or comparing it with other reports.

CHECK THE ORIGINAL

The original publication

Surgical outcomes of robotic surgery for kidney stones: a systematic review and meta-analysis from section of YAU and EAU endourology.

Ergül RB, Özervarli MF, Panthier F et al.
World J Urol · 2025

PubMed ID
40484898
Record checked

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