Related Experiment Video

Updated: Aug 7, 2025

An Immature Murine Model of Reversible Unilateral Ureteral Obstruction
07:03

An Immature Murine Model of Reversible Unilateral Ureteral Obstruction

Published on: April 4, 2025

246

Minimally Invasive versus Open Ureteral Reimplantation in Children: A Systematic Review and Meta-Analysis

Shaoguang Feng1,2, Zhechen Yu2, Yicheng Yang2

  • 1Department of Pediatric Surgery, Hangzhou Children's Hospital, Hangzhou, China.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|March 7, 2023
PubMed
Abstract

Insights

Minimally invasive surgery (MIS) for pediatric ureteral reimplantation offers shorter hospital stays and less blood loss compared to open surgery. MIS is a safe and effective alternative, demonstrating comparable success rates and complication profiles to open ureteral reimplantation (OUR).

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Ureteral reimplantation is a common procedure for pediatric reflux.
  • Minimally invasive surgery (MIS) approaches, including laparoscopic and robot-assisted techniques, are increasingly utilized.
  • Comparing MIS with traditional open ureteral reimplantation (OUR) is crucial for optimizing pediatric surgical care.

Purpose of the Study:

  • To systematically review and meta-analyze the safety and efficacy of MIS versus OUR in pediatric patients.
  • To compare key perioperative and postoperative outcomes between MIS and OUR.
  • To determine if MIS is a viable alternative to OUR for pediatric ureteral reimplantation.

Main Methods:

  • Systematic literature search for comparative studies of MIS (laparoscopic/robot-assisted) and OUR in children.
  • Meta-analysis of pooled data on operative time, blood loss, hospital stay, success rate, and complications (UTI, retention, hematuria, wound infection).
  • Statistical comparison of outcomes using weighted mean differences and odds ratios with 95% confidence intervals.

Main Results:

  • Analysis of 14 studies involving 7,882 pediatric participants (852 MIS, 7,030 OUR).
  • MIS was associated with significantly shorter hospital stays (WMD -2.82 days), less blood loss (WMD -12.65 mL), and reduced wound infection rates (OR 0.23) compared to OUR.
  • No significant differences were observed in operative time, success rates, postoperative UTI, urinary retention, hematuria, or overall complications.

Conclusions:

  • Minimally invasive surgery (MIS) is a safe, feasible, and effective option for pediatric ureteral reimplantation.
  • MIS offers advantages over open ureteral reimplantation (OUR) including shorter hospital stays, reduced blood loss, and fewer wound infections.
  • MIS demonstrates equivalent efficacy and safety profiles to OUR regarding success rates and secondary outcomes, supporting its consideration as an acceptable surgical choice.

More Related Videos

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma06:39

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

7.8K
Vessel-sparing Excision and Primary Anastomosis08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

11.5K

Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
43
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
14
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
104
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
30
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
175
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
49