Article
Pediatrics
Pin Li, Huixia Zhou, Hualin Cao, Tao Guo, Weiwei Zhu, Yang Zhao, Tian Tao, Xiaoguang Zhou, Lifei Ma, Yunjie Yang, Zhichun Feng
Summary: Robotic-assisted laparoscopic pyeloplasty (RALP) is a safe and feasible option for treating severe ureteropelvis junction obstruction (UPJO) in infants under 3 months, with significant renal function recovery observed in all patients within 12 months post-operation.
FRONTIERS IN PEDIATRICS
(2021)
Article
Pediatrics
Hiroyuki Koga, Hiroshi Murakami, Shogo Seo, Takanori Ochi, Hiroki Nakamura, Yuichiro Miyake, Seitaro Kosaka, Masahiro Takeda, Naho Fujiwara, Rumi Arii, Koichi Tsuboi, Geoffrey J. Lane, Atsuyuki Yamataka
Summary: This study compared retroperitoneal pyeloplasty procedures for pediatric ureteropelvic junction obstruction using retroperitoneoscopy and robotic assistance. The results showed that robotic assistance led to better patient recovery, shorter hospitalization time, and improved surgical safety. Robotic-assisted pyeloplasty is recommended.
JOURNAL OF PEDIATRIC SURGERY
(2023)
Review
Surgery
Pan Song, Mengxuan Shu, Zhufeng Peng, Luchen Yang, Mingzhen Zhou, Zirui Wang, Ni Lu, Caixia Pei, Qiang Dong
Summary: This study evaluated the benefits and safety of transperitoneal and retroperitoneal pyeloplasty for ureteropelvic junction obstruction through a meta-analysis. The results showed that there were no significant differences in success rate, hospital stay, and overall complications between the two approaches. However, the retroperitoneal approach had longer operative time and higher conversion rate compared to the transperitoneal approach.
ASIAN JOURNAL OF SURGERY
(2022)
Article
Urology & Nephrology
Panagiotis Kallidonis, Vasileios Tatanis, Angelis Peteinaris, Paraskevi Katsakiori, Kristiana Gkeka, Solon Faitatziadis, Athanasios Vagionis, Theofanis Vrettos, Jens-Uwe Stolzenburg, Evangelos Liatsikos
Summary: This study aims to present the technically specific features of the avatera robotic system and our initial experience with its use in robot-assisted pyeloplasty. The study included nine patients who underwent successful RAP using the avatera system without complications or significant blood loss. The early outcomes of avatera system in RAP were found to be safe and effective.
WORLD JOURNAL OF UROLOGY
(2023)
Review
Pediatrics
Fengming Ji, Li Chen, Chengchuang Wu, Jinrong Li, Yu Hang, Bing Yan
Summary: Both retroperitoneal and transperitoneal laparoscopic pyeloplasty have similar clinical efficacy for treating ureteropelvic junction obstruction. The two approaches differ in operative time, duration of drainage, and postoperative pain score.
FRONTIERS IN PEDIATRICS
(2021)
Article
Medicine, General & Internal
Stefano Moretto, Carlo Gandi, Riccardo Bientinesi, Angelo Totaro, Filippo Marino, Filippo Gavi, Andrea Russo, Paola Aceto, Francesco Pierconti, Pierfrancesco Bassi, Emilio Sacco
Summary: We conducted a retrospective study comparing the outcomes and costs of robot-assisted laparoscopic pyeloplasty (RALP) and open pyeloplasty (OP) for ureteropelvic junction obstruction. The success rate at 3 months was similar between the RALP and OP groups. Intraoperative blood loss, postoperative analgesic and antibiotic use, and early postoperative complications were significantly lower in the RALP group. The total direct cost per surgical procedure was higher in the RALP group.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Pediatrics
Qiao Bao, Weijun Ma, Xiewu Zhang, Shuhan Chen, Jiayao Luo, Gang Zhang, Weihua Lao, Yueqing Chen
Summary: Immediate laparoscopic pyeloplasty can effectively accelerate the recovery of renal morphological indices in infants with severe UPJO-induced hydronephrosis.
FRONTIERS IN PEDIATRICS
(2022)
Article
Urology & Nephrology
Sarah Razavi, Josh Babbin, Douglas M. M. Dahl
Summary: This study retrospectively analyzed the records of 141 patients who underwent robotic-assisted laparoscopic pyeloplasty (RAP) at Massachusetts General Hospital between 2008 and 2020. The patients were divided into symptomatic and asymptomatic groups for comparison. The results showed that both symptomatic and asymptomatic patients had similar improvement in renal function and symptom resolution after the surgery, despite the higher obstruction indices in the asymptomatic group on preoperative renal scans.
WORLD JOURNAL OF UROLOGY
(2023)
Article
Surgery
S. Cohen, G. Raisin, D. Dothan, J. Jaber, S. Kocherov, B. Chertin
Summary: RALP is a safe and effective treatment for pediatric patients with UPJO, with shorter operative time, shorter hospital stay, and high success rate; the majority of patients showed improvement or stability of hydronephrosis on postoperative imaging, although there were some cases of complications.
JOURNAL OF ROBOTIC SURGERY
(2022)
Article
Urology & Nephrology
Bruno Nascimento, Hiury S. Andrade, Eduardo P. Miranda, Joao Arthur Brunhara Alves Barbosa, Paulo R. Moscardi, Marco A. Arap, Anuar Mitre, Miguel Srougi, Victor Srougi, Ricardo J. Duarte
Summary: The study evaluated outcomes of laparoscopic pyeloplasty in adult patients with poorly functioning kidney due to ureteropelvic junction obstruction, finding that LP is effective and safe in this population, with DRF recovery observed in a minority of patients.
INTERNATIONAL UROLOGY AND NEPHROLOGY
(2021)
Review
Pediatrics
Miao Sun, Chengjun Yu, Jie Zhao, Maolin Liu, Yan Liu, Rong Han, Long Chen, Shengde Wu
Summary: This study evaluates the safety and effectiveness of robotic-assisted laparoscopic pyeloplasty (RALP) for pediatric ureteropelvic junction obstruction through comparing it with open pyeloplasty (OP) and laparoscopic pyeloplasty (LP). The analysis shows that RALP has similar success rate and postoperative complications compared to OP, with shorter length of stay (LOS). In addition, RALP is associated with shorter anastomosis time and fewer postoperative analgesics compared to LP, but it has a longer operative time and higher cost.
PEDIATRIC SURGERY INTERNATIONAL
(2023)
Article
Surgery
Philipp Szavay
Summary: Dismembered pyeloplasty is the standard surgical treatment for ureteropelvic junction obstruction, with laparoscopic dismembered pyeloplasty now considered the gold standard for children. The described technique in this article offers a reproducible approach with high surgical success rates across different age and weight groups.
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
(2021)
Article
Surgery
Marie-Berenice Popelin, Ugo Pinar, Daniel Benamran, Alexandre Ingels, Jerome Parra, Christophe Vaessen, Thomas Seisen, Alexandre de La Taille, Morgan Roupret
Summary: The study demonstrates that RALP is a reliable, effective, and safe treatment for clinically symptomatic UPJO patients, with a high global and radiologic success rate postoperatively.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2021)
Article
Urology & Nephrology
Jun Liu, Jingjun Zhang, Weinan Chen, Liulin Xiong, Xiaobo Huang, Xiongjun Ye
Summary: This study compared the effects of two different methods of laparoscopic pyeloplasty for treating crossing vessels in patients with ureteropelvic junction obstruction. Results showed that both the Hem-o-lok suspension and vascular transposition methods effectively relieved crossing vessel compression, improving the success of the surgery without significant changes in kidney size or hydronephrosis post-operation.
Article
Pediatrics
Sameer Mittal, Aznive Aghababian, Sahar Eftekharzadeh, Lauren Dinardo, John Weaver, Dana A. Weiss, Christopher Long, Arun K. Srinivasan, Aseem R. Shukla
Summary: This study compares redo RALP with an established control group-primary RALP in the largest controlled cohort in the pediatric population. Despite the low number of re-operative cases in redo RALP, the study confirms its low complication rate and high success rate, comparable to primary RALP.
JOURNAL OF PEDIATRIC UROLOGY
(2021)