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Laparoscopic versus robot-assisted pyeloplasty in infants and young children

Long Sun1, Dongyan Zhao1, Yiding Shen1

  • 1Department of Urology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310000, China.

Asian Journal of Surgery
|October 3, 2022
PubMed

Insights

Robotic-assisted laparoscopic pyeloplasty (RALP) offers a less invasive and faster recovery option for infants and young children with ureteropelvic junction obstruction (UPJO), demonstrating comparable effectiveness to traditional laparoscopic pyeloplasty (LP).

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Surgical Technology

Background:

  • Ureteropelvic junction obstruction (UPJO) is a common congenital anomaly in infants and young children.
  • Traditional laparoscopic pyeloplasty (LP) is a standard surgical treatment for UPJO.
  • Robotic-assisted laparoscopic pyeloplasty (RALP) has emerged as an alternative minimally invasive approach.

Purpose of the Study:

  • To compare the clinical characteristics and outcomes of RALP versus LP in pediatric patients with UPJO.
  • To evaluate the safety, efficacy, and recovery profiles of both surgical techniques in young children.

Main Methods:

  • A retrospective study involving 33 patients (0-36 months) with UPJO who underwent either RALP or LP.
  • Data collected included operative time, length of hospital stay, pain management, costs, and short-term complications.
  • Anderson-Hynes dismembered pyeloplasty was the surgical procedure performed.

Main Results:

  • RALP demonstrated significantly shorter operative times, shorter hospital stays, and earlier drainage tube removal compared to LP.
  • Postoperative pain and short-term complications were similar between the two groups.
  • Hospitalization costs were significantly higher for RALP compared to LP.

Conclusions:

  • RALP is a safe and effective alternative to LP for treating UPJO in infants and young children.
  • RALP offers benefits of reduced trauma and faster recovery, with comparable surgical effectiveness to LP.
  • Further research may explore long-term outcomes and cost-effectiveness of RALP in this pediatric population.
Abstract

Keywords:
InfantLaparoscopyRoboticsUreteropelvic junction obstruction

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