[Trends in upper urinary tract reconstruction surgery over a decade based on a multi-center database]
1Department of Urology, Peking University First Hospital; Institute of Urology, Peking University; National Urological Cancer Center, Beijing 100034, China.
Summary
Upper urinary tract reconstruction surgery is increasingly favoring minimally invasive approaches, particularly robot-assisted laparoscopic surgery, which is linked to fewer short-term complications. This trend indicates a shift towards more complex procedures and advanced surgical techniques.
Area of Science:
- Urology
- Surgical Innovation
- Medical Database Research
Background:
- Upper urinary tract reconstruction addresses congenital anomalies and iatrogenic injuries.
- The RECUTTER database (Reconstruction of Urinary Tract: Technology, Epidemiology and Result) tracks trends in these procedures.
Purpose of the Study:
- To analyze trends in surgical type, procedures, and etiology for upper urinary tract repair over a decade.
- To compare surgical outcomes between early (2010-2017) and later (2018-2021) periods.
Main Methods:
- Analysis of 1,072 patient records from the RECUTTER database (2010-2021).
- Comparison of surgical types (open, laparoscopic, robot-assisted, endourological), procedures, and complication rates between two time periods.
- Statistical analysis of trends and risk factors for complications.
Main Results:
- Robot-assisted laparoscopic surgery significantly increased from 2010-2017 to 2018-2021 (P < 0.001).
- Pyeloplasty and balloon dilation were common; complex procedures like lingual mucosal graft ureteroplasty increased (P < 0.05).
- Minimally invasive surgery (endourological and robot-assisted) was associated with reduced short-term complications (P=0.050, OR=0.472).
Conclusions:
- The RECUTTER database provides valuable data for clinical research in urology.
- Upper urinary tract reconstruction shows a trend towards minimally invasive and complex procedures.
- Robot-assisted laparoscopic surgery demonstrates superiority in reducing short-term complications.
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