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

Abstract

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.

Initial Experience on Laparoscopic Pyeloplasty in Persahabatan General Hospital, Jakarta: A Case Series

“…The learning curve considered significant, where a study reported a shortening of operative time in line with experience. 12 In contrast to the length of operation, the normal intraoperative bleeding in this study was 50 ml, slightly more bleeding than another study with 20 mL for the average blood loss. 11 Our data shows a wide range of intraoperative bleeding volume, as the first case of LP in our centre, reached 500 mL of intraoperative bleeding.…”

Comparison of the initial operative experience of a single surgeon carrying out robot‐assisted laparoscopic pyeloplasty, laparoendoscopic single‐site pyeloplasty and conventional laparoscopic pyeloplasty

“…There have been several reports comparing RALP with LP, but no reports that compared the three different procedures, including RALP, LESS‐P and LP, in which a single surgeon operated on adults …”

“…In contrast, suturing is known to be challenging in LESS‐P, as it has limited working space . Although RALP might have a learning curve, it has also been reported that experience with LP contributes to a reduction of the learning curve for RALP . It is expected that the time can be shortened through experience of more robotic procedures.…”

“…3 There have been several reports comparing RALP with LP, but no reports that compared the three different procedures, including RALP, LESS-P and LP, in which a single surgeon operated on adults. 4 We compared each result of the initial experience of these three procedures, which were carried out by a single operator, in five consecutive adult patients with UPJO in order to verify the features of RALP, LESS-P and LP.Overall operative time, port-placement time, time for spatulating the proximal ureter, time for suturing the ureter to the renal pelvis including ureteral stenting time and the success rate were compared. Surgery was indicated for patients in which the split renal dysfunction was progressive or for patients with clinically significant symptoms.…”

“…3 There have been several reports comparing RALP with LP, but no reports that compared the three different procedures, including RALP, LESS-P and LP, in which a single surgeon operated on adults. 4 We compared each result of the initial experience of these three procedures, which were carried out by a single operator, in five consecutive adult patients with UPJO in order to verify the features of RALP, LESS-P and LP.…”