Robotic versus conventional laparoscopic pyeloplasty in children less than 20 kg by weight: single-center experience

Ganpule, Arvind; Jairath, Ankush; Singh, Abhishek; Mishra, Shashikant; Sabnis, Ravindra; Desai, Mahesh

doi:10.1007/s00345-015-1694-1

Cited by 17 publications

(23 citation statements)

References 14 publications

(10 reference statements)

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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%

“…). Ten studies reported similar complication rates between approaches []. Four studies reported complication rates of 0% for both groups .…”

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%

“…Our search strategies identified 4101 articles, with 17 full-text studies meeting our eligibility criteria to be included in the present review ( Fig. 1) [3,[10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. The authors of one study, on request for further data, provided eligible primary patient data collected prospectively since their original publication [20].…”

Section: Study Characteristicsmentioning

confidence: 99%

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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%

“…). Ten studies reported similar complication rates between approaches []. Four studies reported complication rates of 0% for both groups .…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

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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“…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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Robotic Pyeloplasty

Kachroo¹,

Sivalingam²,

Best³

2019

Minimally Invasive Urology

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Robotic versus conventional laparoscopic pyeloplasty in children less than 20 kg by weight: single-center experience

Abstract: This comparative study confirms the feasibility, efficacy, and safety of robotic pyeloplasty in infants and toddlers. The obvious advantage is being shorter hospital stay. Further prospective studies will be needed to show its superiority over LP.

Cited by 17 publications

References 14 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

Robotic surgery in pediatric urology: Current status

Robotic Pyeloplasty

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