Bi-Institutional Comparison of Robot-Assisted Laparoscopic Versus Open Ureteroureterostomy in the Pediatric Population

Abstract

Robot-assisted laparoscopic UU is a safe and effective alternative to open UU in children with duplication anomalies and single system obstructed ureters. Operative times and complication rates were comparable with slightly shorter length of hospitalization in robotic cases.

Paediatric robotic surgery and urology: where are we?

“…Ureteral re-implantation and ureteroureterostomy have been shown to be comparable in a few small series [10][11][12][13][14].…”

Robotic surgery in pediatric urology

“…Most recently, a bi-institutional comparison of robotic assisted laparoscopic vs. open ureteroureterostomy for duplex systems was published showing similar operative times and estimated blood loss, along with similar complication rates with four patients in each group experiencing febrile urinary tract infections and one patient in the open group experiencing post-operative ureterovesical junction obstruction [33] . Robotic excision of ureteral polyps with repair has also been reported [34] .…”

Robot-assisted ureteral reconstruction – current status and future directions

“…Another newer option is the use of near-infrared fluorescence imaging. [ 1 ] Indocyanine green is injected intraureterally and can be visualized under near-infrared fluorescence to help identify the proximal and distal limits of a ureteral stricture in a efficacious manner. [ 1 ]…”

“…performed a direct comparison of open versus robotic ureteroureterostomy in a pediatric population. [ 1 ] They compared 25 robotic procedures with 19 open procedures and found equivalent operative times, blood loss, complications, and outcomes. Hospital stay in the robotic group was slightly shorter by 0.5 days ( P = 0.04).…”