A tiny patient, a giant leap: The world’s first robotic telesurgery for congenital pelvi-ureteric junction obstruction in a 16-month-old infant

Telesurgery, the use of robotic systems to perform operations remotely, represents a growing frontier in minimally invasive surgery. We report a rare and pioneering case of a 16-month-old male with left pelviureteric junction obstruction. The child underwent robotic-assisted pyeloplasty performed via a telesurgical approach. The procedure was completed successfully without intraoperative or postoperative complications. The child recovered uneventfully. To our knowledge, this is among the youngest reported cases of robotic-assisted pyeloplasty performed via SSI Mantra Robotic system (Sudhir Srivastava Innovations Pvt. Ltd., India. It highlights the feasibility of telerobotic interventions in urology.