Comparison of transumbilical multiport and standard laparoscopic pyeloplasty in children: Mid-term results at a single center

Hong, Ming; Zhao, Xiaoli; Li, Dan; Fang, Erhu; Wang, Xiaojing; Song, Huajie; Pu, Jiarui; Zheng, Liduan; Tong, Qiangsong

doi:10.1016/j.jpedsurg.2016.08.013

Cited by 5 publications

(8 citation statements)

References 21 publications

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“…Nevertheless, the use of LESS in DUS was constrained by the requirement of specific multichannel laparoscopic ports and articulating or pre-bent instruments, especially in developing countries [ 17 , 18 , 19 ]. To achieve the identical invasiveness and cosmetic outcomes of LESS, after accumulating enough laparoscopic experience [ 20 , 21 , 22 ], we have tried and successfully performed many TMLUR surgeries by using the usual instruments in children, which has not been previously reported in the published literature. Recently, numbers of RALUR have increased annually and progressively overshadow conventional LUR due to its instinct technical advantages [ 4 , 9 , 10 , 11 , 12 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Robot-Assisted versus Trans-Umbilical Multiport Laparoscopic Ureteral Reimplantation for Pediatric Benign Distal Ureteral Stricture: Mid-Term Results at a Single Center

Guo

Yang

et al. 2022

JCM

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Objective: Robot-assisted laparoscopic ureteral reimplantation (RALUR) and trans-umbilical multiport laparoscopic ureteral reimplantation (TMLUR) are both minimally invasive procedures for benign distal ureteral stricture (DUS). However, TMLUR has rarely been reported in published research, thus the difference in mid-term outcome of these two procedures warrants investigation. Methods: Patients who underwent RALUR or TMLUR for pediatric DUS from April 2017 to November 2020 at our institution were retrospectively analyzed and 56 patients were included in this retrospective comparison. Demographic characteristics, perioperative data and follow-up results were collected and analyzed in RALUR and TALUR groups. Results: RALUR and TMLUR were successfully performed in children aged from 12.0 to 142.0 months, without conversion to open ureteral reimplantation. RALUR took shorter operative time than TMLUR (p = 0.005) with less blood loss (p = 0.001). Meanwhile, patients receiving RALUR encountered a greater financial burden (p < 0.001) with less cosmetic satisfaction than TMLUR. The mean mid-term follow-up time for RALUR and TMLUR was 18.29 months and 24.64 months, respectively. Mid-term follow-up data showed that DUS was relieved with improved renal function after surgery in both groups, with no significant difference. Conclusions: RALUR and TMLUR are both safe and efficient for DUS treatment and achieve comparable mid-term outcomes in children. RALUR can reduce operative time and operative blood loss benefiting from its prominent technical superiority, but may currently bring about greater financial burden, with cosmetic satisfaction remaining to be improved.

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Section: Discussionmentioning

confidence: 99%

Robot-Assisted versus Trans-Umbilical Multiport Laparoscopic Ureteral Reimplantation for Pediatric Benign Distal Ureteral Stricture: Mid-Term Results at a Single Center

Guo

Yang

et al. 2022

JCM

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“…It has gained popularity among pediatric surgeons during the last few years thanks to its advantages including improved cosmesis, reduced surgical trauma, wound complications and post-operative pain [4][5][6][7][8]. We report the first case of LESS cutaneous ureterostomy in a neonate.…”

Section: Dear Sirmentioning

confidence: 97%

Laparo-Endoscopic Single-Site (LESS) Cutaneous Ureterostomy in a Neonate

Zouari¹,

Dhaou²,

Abid³

et al. 2017

J Neonat Surg

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“…Postoperative morbidity after pyeloplasty in children has been extensively studied with a complication rate ranging from 6.7% to 37.5%. [2][3][4] However, very few authors have looked for preoperative risk factors that could influence postoperative outcomes. Even in these studies, the identified risk factors have been the subject of controversy.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for adverse outcomes after pediatric pyeloplasty: A retrospective cohort study

Zouari,

Dghaies,

Rhaiem

et al. 2023

Int J of Urology

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PurposeTo identify the risk factors for adverse outcomes after pediatric pyeloplasty.MethodsWe conducted a retrospective review of all children under the age of 14 years who underwent primary pyeloplasty for unilateral ureteropelvic junction (UPJ) obstruction at a single teaching hospital in Tunisia between January 1, 2013, and December 31, 2022.ResultsA total of 103 patients were included. Median age of patients at surgery was 27 months (interquartile range [IQR], 13–44). On ultrasound, median renal pelvic anteroposterior diameter was 3.2 cm (IQR, 2.3–4), and the median renal cortex thickness (RCT) was 2.5 mm (IQR, 2–3.5). Median differential renal function (DRF) on preoperative radionuclide renal scan was 40% (IQR, 30–46). Postoperative adverse outcomes occurred in 28 patients (27.2%). These included 19 cases of urinary tract infections (UTIs), 11 cases of UPJ restenosis, four cases of UPJ leakage, two cases of urinoma, and two cases of diversion‐related complications. Multivariate logistic regression analysis revealed two factors significantly and independently related to postoperative negative outcomes: RCT <3 mm and DRF > 50%.ConclusionOur study demonstrated that preoperative RCT on ultrasound of less than 3 mm and preoperative DRF on radionuclide renal scan of more than 50% were independent risk factors for adverse outcomes following pediatric pyeloplasty. These factors could be of interest in identifying, early on, patients who will develop postoperative negative outcomes, giving them more attention and support, and explaining the prognosis to the patient and family.

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Comparison of transumbilical multiport and standard laparoscopic pyeloplasty in children: Mid-term results at a single center

Cited by 5 publications

References 21 publications

Robot-Assisted versus Trans-Umbilical Multiport Laparoscopic Ureteral Reimplantation for Pediatric Benign Distal Ureteral Stricture: Mid-Term Results at a Single Center

Robot-Assisted versus Trans-Umbilical Multiport Laparoscopic Ureteral Reimplantation for Pediatric Benign Distal Ureteral Stricture: Mid-Term Results at a Single Center

Laparo-Endoscopic Single-Site (LESS) Cutaneous Ureterostomy in a Neonate

Risk factors for adverse outcomes after pediatric pyeloplasty: A retrospective cohort study

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