The efficacy of robotic-assisted laparoscopic pyeloplasty for pediatric ureteropelvic junction obstruction: a systematic review and meta-analysis

Sun, Miao; Yu, Chengjun; Zhao, Jie; Liu, Maolin; Liu, Yan; Han, Rong; Chen, Long; Wu, Shengde

doi:10.1007/s00383-023-05541-8

Pediatr Surg Int

2023

DOI: 10.1007/s00383-023-05541-8

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The efficacy of robotic-assisted laparoscopic pyeloplasty for pediatric ureteropelvic junction obstruction: a systematic review and meta-analysis

Miao Sun,

Chengjun Yu,

Jie Zhao

et al.

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2024

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An advantageous practical modification in mini-laparoscopic pyeloplasty for prepubertal children: Extracorporeal ureteral spatulation, suturing and stenting – EUSSS technique

Sezer,

Turedi,

Bulbul

2024

BMC Urol

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Background Ureteral spatulation, the first ureteral suture, and double-J stenting may be challenging and time-consuming in laparoscopic pyeloplasty, especially in small children. We aimed to present our comparative results of the extracorporeal ureteral spatulation, suturing, and stenting (EUSSS) technique in mini-laparoscopic pyeloplasty (MLP) and the conventional intracorporeal technique in prepubertal children. Methods The data of 46 prepubertal pediatric patients (< 12 years) who underwent laparoscopic pyeloplasty by a single surgeon between January 2021 and October 2023 were retrospectively reviewed. The patients were divided into two groups: who underwent EUSSS-MLP (Group-1, n = 26) and who underwent conventional intracorporeal pyeloplasty (Group-2, n = 20). Results The mean age of all patients was 5.3 years (4.8 ± 2.8 years in Group-1 and 6.0 ± 2.1 years in Group-2 p = 0.126). The mean duration of ureteral preparation plus double-J stenting was 5.7 ± 1.6 min in Group-1 and 19.2 ± 4.1 min in Group-2 ( p < 0.0001). The mean duration of surgery was statistically significantly higher in Group-2 ( p = 0.034). There was no significant difference in terms of postoperative complications ( p = 0.482). Laparoscopic pyeloplasty was successful in 42 (91.3%) patients, with no statistically significant difference between the two groups (Group-1: 24 (92.3%), Group-2:18 (90%), p = 0.783). Conclusion Extracorporeal ureteral preparation and double-J stenting can be safely and effectively preferred in MLP for prepubertal children.

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An advantageous practical modification in mini-laparoscopic pyeloplasty for prepubertal children: Extracorporeal ureteral spatulation, suturing and stenting – EUSSS technique

Sezer,

Turedi,

Bulbul

2024

BMC Urol

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The efficacy of robotic-assisted laparoscopic pyeloplasty for pediatric ureteropelvic junction obstruction: a systematic review and meta-analysis

Cited by 1 publication

References 58 publications

An advantageous practical modification in mini-laparoscopic pyeloplasty for prepubertal children: Extracorporeal ureteral spatulation, suturing and stenting – EUSSS technique

An advantageous practical modification in mini-laparoscopic pyeloplasty for prepubertal children: Extracorporeal ureteral spatulation, suturing and stenting – EUSSS technique

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