Global minimally invasive pyeloplasty study in children: Results from the Pediatric Urology Expert Group of the European Association of Urology Young Academic Urologists working party

Sılay, Mesrur Selçuk; Spinoit, Anne‐Françoise; Undre, Shabnam; Fiala, Vojtěch; Tandoğdu, Zafer; Garmanova, Tatiana; Guttilla, Andrea; Sancaktutar, Ahmet Ali; Haid, Bernhard; Waldert, Matthias; Goyal, Ashish; Şerefoğlu, Ege Can; Baldassarre, Emanuele; Manzoni, Gianantonio; Radford, Anna; Subramaniam, Ramnath; Cherian, Abraham; Hoebeke, Piet; Jacobs, Micah A.; Rocco, Bernardo; Yuriy, R.; Zattoni, Fabio; Kočvara, R; Koh, Chester J.

doi:10.1016/j.jpurol.2016.04.007

Cited by 88 publications

(61 citation statements)

References 12 publications

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“…All 17 were observational studies . Thirteen studies had a retrospective design [], three were prospective , and one used both retrospective and prospective data collection . Two studies reported patient matching .…”

Section: Resultsmentioning

confidence: 99%

“…This suggests low‐quality studies may have introduced bias that altered the overall effects. Other sources of bias include centres and surgeons with an existing but unexplained preference towards one approach , using multiple surgeons [], and variations in clinical practice. Furthermore, five studies were at centres that switched from LP to RAP once robotics became available .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Peri‐operative outcomes and complications after laparoscopic vs robot‐assisted dismembered pyeloplasty: a systematic review and meta‐analysis

et al. 2018

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For patients with PUJ obstruction, our meta-analyses show that RAP is advantageous concerning operating time, length of hospital stay, complication rate and success rate. Our conclusions, however, are weakened by poor quality of evidence and significant study heterogeneity. In addition, whether the statistical significance observed in the present meta-analysis translates into clinical significance is an important question. Further high-quality studies, particularly randomized controlled trials, are necessary to strengthen conclusions.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Peri‐operative outcomes and complications after laparoscopic vs robot‐assisted dismembered pyeloplasty: a systematic review and meta‐analysis

et al. 2018

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“…In the largest multinational, multicenter comparison of pediatric minimally invasive pyeloplasty, Silay et al showed that the robotic cohort experienced shorter lengths of stay (2.1 days vs 4.6 days) and a lower postoperative complication rate (3.2% vs 7.7%) when compared with standard laparoscopy. 6 A shorter hospital stay was also observed when RP was compared with OP in a national assessment of USA children, and in a meta-analysis comparing RP, LP and OP by Cundy et al [7][8][9] Similar convalescence trends were observed in a national assessment of RUR, in addition to an overall increased prevalence of the technique from 2009 to 2012. 10 In order to actualize these benefits, it is critical to implement a well-structured plan.…”

Section: Introductionmentioning

confidence: 65%

“…In the largest multinational, multicenter comparison of pediatric minimally invasive pyeloplasty, Silay et al . showed that the robotic cohort experienced shorter lengths of stay (2.1 days vs 4.6 days) and a lower postoperative complication rate (3.2% vs 7.7%) when compared with standard laparoscopy . A shorter hospital stay was also observed when RP was compared with OP in a national assessment of USA children, and in a meta‐analysis comparing RP, LP and OP by Cundy et al .…”

Section: Introductionmentioning

confidence: 93%

Setting up a pediatric robotic urology program: A USA institution experience

et al. 2017

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Implementing a robotic urological surgery program requires institutional support, and necessitates a comprehensive, detail-oriented plan that accounts for training, oversight, cost and case volume. Given the prevalence of robotic surgery in adult urology, in many instances it might be feasible to implement a pediatric robotic urology program within the greater context of adult urology. This involves, from an institutional standpoint, proportional distribution of equipment cost and operating room time. However, the pediatric urology team primarily determines goals for volume expansion, operative case selection, resident training and surgical innovation within the specialty. In addition to the clinical model, a robust economic model that includes marketing must be present. This review specifically highlights these factors in relationship to establishing and maintaining a pediatric robotic urology program. In addition, we share our data involving robot use over the program's first nine years

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“…Several reports indicated that RP achieved a similar success rate, shorter hospital stay, and lower narcotic usage compared to OP (31)(32)(33)(34)(35)(36)(37). Additionally, RP and LP were shown to be effective techniques for treating UPJO, with similar success rates (21,(38)(39)(40)(41)(42). Compared to LP, RP had a shorter operative time in several reports ( Table 2) (21,39,41), possibly because of the shorter intracorporeal suturing time.…”

Section: Pyeloplastymentioning

confidence: 99%

Robotic surgery in pediatric urology: Current status

Mizuno

Kojima

Nishio

et al. 2018

Asian J Endoscop Surgery

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Robot‐assisted laparoscopic surgery (RALS) has been increasingly embraced in the fields of adult and pediatric urology, especially in North America and Europe. The advantages of a stable magnified 3‐D view, tremor filtering, and motion scaling allow for precise intracorporeal exposure and suturing. Because most surgeries are performed as reconstructive rather than excision procedures, the robotic platform is particularly feasible for the field of pediatric urology. In this review, we summarize the recent viewpoints on RALS, such as pyeloplasty, ureteral reimplantation, bladder neck reconstruction, bladder neck sling, appendicovesicostomy, bladder diverticulectomy, and treatments for ureterocele or ectopic ureters, and we also critically summarize the current status of the literature. Based on our initial experience, RALS is technically feasible for pediatric patients and may be achieved with comparable surgical outcomes. RALS is also associated with reduced morbidity compared to open surgery to conventional laparoscopic surgery. This evolution will offer an alternative in the treatment pediatric patients, along with improved care and patient quality of life. Further large case series and randomized controlled trials that investigate the robotic platform's technological improvements will help to expand indications of RALS in the field of pediatric urology.

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Global minimally invasive pyeloplasty study in children: Results from the Pediatric Urology Expert Group of the European Association of Urology Young Academic Urologists working party

Cited by 88 publications

References 12 publications

Peri‐operative outcomes and complications after laparoscopic vs robot‐assisted dismembered pyeloplasty: a systematic review and meta‐analysis

Peri‐operative outcomes and complications after laparoscopic vs robot‐assisted dismembered pyeloplasty: a systematic review and meta‐analysis

Setting up a pediatric robotic urology program: A USA institution experience

Robotic surgery in pediatric urology: Current status

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