A minimal invasive surgical approach for children of all ages with ureteropelvic junction obstruction

Pediatric Standard and Robot-Assisted Laparoscopic Pyeloplasty: A Comparative Single Institution Study

“…13,15 While in both studies RALP had a shorter operative time compared to LP, only 1 showed that this difference was statistically significant, 15 similar to our study. In agreement with other series, 16 we believe that the learning curve may be less steep for RALP compared to standard LP, as demonstrated in the figure.…”

“…The length of hospital stay was similar in both groups, and comparable to what is reported in the North American literature (1.4 days with RALP vs 1.2 days with LP) 3,7 but shorter compared to a study from Europe (7 days with LP vs 6 days with RALP). 15 This variability may be attributed to differences in these health systems.…”

Laparoscopic pyeloplasty in infants: Single-surgeon experience

“…In contrast, in open pyeloplasty performed through a small incision, the PUJ is delivered out of the wound to perform the operation. Subotic et al [16] made similar observations and concluded that they abandoned the dorsal lumbotomy approach for pyeloplasty in favour of LP because LP yielded slightly better results with superior cosmesis.…”

Laparoscopically Guided External Transanastomotic Stenting in Dismembered Pyeloplasty: A Safe Technique

“…Stents were removed without anesthesia after a median time of 7 days (range, [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. No intraoperative complications (bleeding caused by stent placement or inability to insert the stent) occurred.…”

“…2 Nonetheless, transperitoneal or retroperitoneoscopic laparoscopic pyeloplasty has a comparable outcome and is considered to be the method of choice in many pediatric urologic centers. [3][4][5] Although there is an ongoing debate whether to stent [6][7][8][9] or not to stent [10][11][12] the ureteropelvic anastomosis in open or laparoscopic surgery, most surgeons performing the laparoscopic approach choose to temporarily divert the upper urinary tract postoperatively. 2 Internal diversion (Double-J), externalized transanastomotic stents, and nephrostomy tube placement have been described to be safe and effective methods.…”