Comparative evaluation of the resolution of hydronephrosis in children who underwent open and robotic-assisted laparoscopic pyeloplasty

Barbosa, João Arthur Brunhara Alves; Kowal, Alexander; Önal, Bülent; Gouveia, Éder Maxwel; Walters, Michele; Newcomer, Justin; Chow, Jeanne S.; Nguyen, Hiep T.

doi:10.1016/j.jpurol.2012.02.002

Cited by 40 publications

(28 citation statements)

References 18 publications

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“…O'Brien et al [8] compared the outcomes of open, laparoscopic, and robotic pyeloplasties, and detected lower rates of hospital stay, and complications in the RALP group, while longer operative times were detected in the groups of RALP, and laparoscopic surgery. In another study by Barbosa et al [9] comparable success rates were reported for RALP, and open surgery groups, while longer operative times were indicated for the RALP group. In a series of 66 cases Bansal et al [10] reported ileus in 2, port site infection in 2, urine leakage in 1, and stent migration in 1 patient In our series 6 patients were successfully treated without any complication.…”

Section: Discussionmentioning

confidence: 72%

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

Kïbar

Yalçın

Kaya

et al. 2017

Turkish Journal of Urology

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Objective: Robotic surgery is a leading treatment option for minimally invasive surgery and has an increasing popularity in pediatric population, as well. In this article, we reported our case series of robot-assisted laparoscopic surgery in pediatric population. Material and methods:We retrospectively reviewed 29 consecutive pediatric patients who underwent robot-assisted procedures between May 2014 and October 2016. Patient demographics, hospitalization time, estimated blood loss, robotic time and total operative and peri-, and post-operative complications were evaluated.Results: A total of 24 ureter units (18 patients) with grade 1-5 vesicoureteral reflux in 13 female and 5 male, 1 male patient with vesicoureteral stenosis were underwent robot-assisted laparoscopic ureteral reimplantation (RALUR). All patients had complete resolution after surgery. Robot-assisted laparoscopic pyeloplasty (RALP) was performed in 6 patients with ureteropelvic junction obstruction. All patients had complete resolution after surgery. Completely intracorporeal robotic assisted laparoscopic augmentation ileocystoplasty (RLAIC) was applied to two patients with neurogenic bladder. The symptoms and preoperative hydronephrosis were regressed on the first month of follow-up. Robot-assisted laparoscopic reduction cystoplasty (RALRC) was performed in 14-year-old boy with a bladder diverticula and recurrent urinary tract infection. The last case was eleven-year-old female patient with non-functioning kidney. She had recurrent urinary tract infections and was treated with robotic assisted laparoscopic nephrectomy (RALN). Conclusion:Robot-assisted laparoscopic surgery is safe and efficient in pediatric population. Although open surgery is still the gold standard for many pediatric diseases, inherent reconstructive advantages of robotic assisted laparoscopy have a chance to change this view.

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Section: Discussionmentioning

confidence: 72%

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

Kïbar

Yalçın

Kaya

et al. 2017

Turkish Journal of Urology

View full text Add to dashboard Cite

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“…[8,10,11] However, the age of patients who undergo minimally invasive pyeloplasty can be even lower. It has been reported that LP is the standard treatment for UPJ obstruction in children from 3 years of age [20], and even from 4 months of age [21] in some institutions.…”

Section: Discussionmentioning

confidence: 99%

“…[9] To date, some reports including meta-analysis have demonstrated the efficacy and safety of minimally invasive pyeloplasty compared to OP in the pediatric population. [9][10][11][12] However, there have been few studies, especially in Asian countries, directly comparing OP, LP, and RALP surgical techniques. In our present study, we describe the clinical characteristics and compare the surgical outcomes of OP, LEXP, and RALP.…”

Section: Introductionmentioning

confidence: 99%

606 A comparative study of pediatric open pyeloplasty, laparoscopy-assisted extracorporeal pyeloplasty and robot-assisted laparoscopic pyeloplasty

Hoon¹,

Ryu²,

Lee³

et al. 2015

European Urology Supplements

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“…[9] More recent meta-analyses and reports have indicated that robotic pyeloplasty is the same as open with consideration to postoperative urinary leaks, hospital readmission rate, and operative time,[10] and robotic pyeloplasty may result in higher overall rates of resolution of hydronephrosis. [11] With 2 year's follow-up, only 5% of patients who underwent robotic pyeloplasty require a secondary procedure, when compared with 13% who underwent a pure laparoscopic pyeloplasty. [12] Other technique papers have indicated that redopyeloplasty is a feasible procedure,[13] and robotic ureterocalycostomy can be considered when a redo pyeloplasty is not possible.…”

Section: Procedural Applications and Outcomesmentioning

confidence: 99%

Pediatric robotic urologic surgery-2014

Kearns

Gundeti

2014

J Indian Assoc Pediatr Surg

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We seek to provide a background of the current state of pediatric urologic surgery including a brief history, procedural outcomes, cost considerations, future directions, and the state of robotic surgery in India. Pediatric robotic urology has been shown to be safe and effective in cases ranging from pyeloplasty to bladder augmentation with continent urinary diversion. Complication rates are in line with other methods of performing the same procedures. The cost of robotic surgery continues to decrease, but setting up pediatric robotic urology programs can be costly in terms of both monetary investment and the training of robotic surgeons. The future directions of robot surgery include instrument and system refinements, augmented reality and haptics, and telesurgery. Given the large number of children in India, there is huge potential for growth of pediatric robotic urology in India. Pediatric robotic urologic surgery has been established as safe and effective, and it will be an important tool in the future of pediatric urologic surgery worldwide.

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Comparative evaluation of the resolution of hydronephrosis in children who underwent open and robotic-assisted laparoscopic pyeloplasty

Cited by 40 publications

References 18 publications

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

606 A comparative study of pediatric open pyeloplasty, laparoscopy-assisted extracorporeal pyeloplasty and robot-assisted laparoscopic pyeloplasty

Pediatric robotic urologic surgery-2014

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