A Comparison of Open vs Laparoscopic Pediatric Pyeloplasty Using the Pediatric Health Information System Database—Do Benefits of Laparoscopic Approach Recede at Younger Ages?

Tanaka, Stacy T.; Grantham, John A.; Thomas, John C.; Adams, Mark C.; Brock, John W.; Pope, John C.

doi:10.1016/j.juro.2008.06.044

Cited by 61 publications

(56 citation statements)

References 13 publications

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“…10 The hospitalization time was identical in both groups (2.5 days), which is comparable and even better than some of the published data with the open or laparoscopic approach. 1,5,7,9 Some recent data showed similar hospitalization time in the open and the laparoscopic group, except with patients over 10 years old in the study by Tanaka and colleagues. 5,9 Ninety percent of patients in our study had a Pippi Salle catheter installed.…”

Section: -7mentioning

confidence: 78%

“…1,5,7,9 Some recent data showed similar hospitalization time in the open and the laparoscopic group, except with patients over 10 years old in the study by Tanaka and colleagues. 5,9 Ninety percent of patients in our study had a Pippi Salle catheter installed. This catheter is advantageous in its handling and cost effectiveness; a study by Braga and colleagues found a decrease of $565 (CDN) per patient when they compared externalized pyeloureteral and standard stents and the preclusion of a second general anesthesia with the Salle catheter.…”

Section: -7mentioning

confidence: 78%

“…A recent study by Tanaka and colleagues indirectly corroborated our results for analgesia requirements. 9 Chacko and colleagues reported that patients under 10 years old did not require narcotics during hospitalization. 10 The hospitalization time was identical in both groups (2.5 days), which is comparable and even better than some of the published data with the open or laparoscopic approach.…”

Section: -7mentioning

confidence: 99%

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Study comparing the applicability of dorsal lumbotomy in older children

Cloutier

Haidar

Rompre-Deschenes

et al. 2012

CUAJ

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Objective: Dismembered pyeloplasty through dorsal lumbotomy to correct ureteropelvic junction obstruction is mainly successfully performed in children under 5 years old for technical reasons. We compared children who underwent dorsal lumbotomy by age group (<5 vs. ≥5 years old) to determine if the surgical success and long-term results were comparable. Materials and Methods:We retrospectively reviewed the charts of 134 children undergoing a pyeloplasty. Group 1 consisted of children <5 years old (n = 90) and Group 2 consisted of children ≥5 years old. Patients' characteristics, as well as hospital stay, narcotic use, radiologic follow-up and success rate, were compared. Success was defined by absence of symptoms and ≥50% reduction in renal pelvis anteroposterior diameter and/or scintigraphic normalization of the drainage T1/2 when obtained. Univariate analysis was performed to compare the groups. Results: Mean age (years) and weight (kg) at surgery for Groups 1 and 2 were 1/8 kg and 11/35 kg, respectively. Mean operative time was 98 minutes versus 120 minutes, respectively; mean hospital stay was 2.5 days for both groups and analgesia requirement was 50% higher in Group 2. A Pippi-Salle stent was used in 90% (n = 120) of cases. Mean follow-up was 26 months and the success rate was 89% and 90% for Groups 1 and 2, respectively. Conclusion: Our study showed comparable success rates. We can infer that, as a technique, dismembered pyeloplasty is effective and safe in the younger and older children.

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Section: -7mentioning

confidence: 78%

Section: -7mentioning

confidence: 78%

Section: -7mentioning

confidence: 99%

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Study comparing the applicability of dorsal lumbotomy in older children

Cloutier

Haidar

Rompre-Deschenes

et al. 2012

CUAJ

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“…19 This raises into question the role of additional variables in postoperative opioid administration. Tanaka and colleagues 20 …”

Section: Are the Results Valid?mentioning

confidence: 99%

Users’ guide to the surgical literature: how to assess an article using surrogate end points

Gallo

Eskicioglu

Braga

et al. 2017

cjs

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Phase 3 randomized controlled trials are the widely accepted gold standard through which treatment decisions are made, as they assess the efficacy of a novel treatment against the control on the relevant patient population. The effectiveness of the novel treatment should be derived by measuring patientimportant outcomes; however, to accurately assess these outcomes, clinical trials often require extensive patient follow-up and large sample sizes that can incur substantial expense. For this reason, investigators substitute surrogate end points to reduce the sample size and duration of a trial, ultimately reducing cost. The purpose of this article is to help surgeons appraise the surgical literature that use surrogate end points for patient-important outcomes. Summary DISCUSSIONS IN SURGERY

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“…Recently, LP has gradually gained acceptance as a feasible and reliable treatment associated with minimal morbidity in the pediatric population of Western countries since its first report for children in 1995 3 . A recent report obtained from the pediatric health information system in the USA showed that 6.2% of procedures were performed laparoscopically from 2002 to 2007 4 . The main advantage of a laparoscopic approach to UPJO over other minimally invasive alternatives such as endopyelotomy is the ability to replicate each step of the open surgical procedure.…”

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confidence: 99%