ArticlePediatric surgery international2019
Pediatric robotic-assisted laparoscopic pyeloplasty (RALP): does weight matter?
Article in Pediatric surgery international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Robotic-assisted surgery in children under 10 kg: a systematic review.Surgical endoscopy · 2026Pooled it
- Comparative outcomes of robotic-assisted and conventional laparoscopic pyeloplasty in pediatric patients: a decade of evidence.Journal of robotic surgery · 2025Pooled it
- Robotic-assisted pyeloplasty in children: a systematic review of the literature.Journal of robotic surgery · 2023Pooled it
- Pooled it
- Beyond the narrow passage: comparative outcomes of laparoscopic and robotic pyeloplasty in infants.Pediatric surgery international · 2026Article
- Effectiveness of Individualized Counselling Session (ICS) on Robotic Assisted Surgery (RAS) to reduce stress and anxiety among parents of children undergoing Robotic Assisted Surgery in SGPGIMS, Lucknow.Journal of robotic surgery · 2026Article
- Pediatric Robot-Assisted Laparoscopic Pyeloplasty: Where Are We Now?Current urology reports · 2024Review
- Paediatric robotic surgery: a narrative review.Journal of robotic surgery · 2023Review
- Open Pyeloplasty in Infants under 1 Year-Proven or Meaningless?Children (Basel, Switzerland) · 2023Article
- Editorial: Pyeloplasties in challenging scenarios as redo procedures, congenital anatomical anomalies and infants: Where do we stand?Frontiers in pediatrics · 2023Article
- Pediatric robotic surgery: issues in management-expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP).Surgical endoscopy · 2022Article
- Robotic Anxiety-Parents' Perception of Robot-Assisted Pediatric Surgery.Children (Basel, Switzerland) · 2022Article
- Robotic upper tract surgery in infants 6 months or less: is there enough space?Journal of robotic surgery · 2022Article
- A combined approach of robot-assisted laparoscopic pyeloplasty and flexible endoscopy to treat concomitant ureteropelvic junction obstruction and calyceal stones in children: Technical considerations and review of the literature.Frontiers in pediatrics · 2022Article
- Predictive factors for early discharge (≤24 hours) and re-admission following robotic-assisted laparoscopic pyeloplasty in children.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
- Learning curve of robotic-assisted laparoscopic pyeloplasty (RALP) in children: how to reach a level of excellence?Journal of robotic surgery · 2021Article
- Pediatric robotic urologic procedures: Indications and outcomes.Indian journal of urology : IJU : journal of the Urological Society of IndiaReview
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRALP is rapidly becoming the new gold standard treatment for UPJO in children, who suffer from uretero-pelvic obstruction (UPJO). However, presently there is a lack of data regarding the outcomes of RALP in young infants and smaller children. This study aims to compare the outcomes of RALP in children weighing less than 10 kg and matched with an analogous cohort who underwent open pyeloplasty (OP).
methodsWe prospectively compared patients who underwent RALP to a matched cohort of patients who underwent OP from our retrospectively acquired data registry. Comparative outcomes included: Demographics, success rate, complications, and length of hospital stay, postoperative pain score and failure rate. Failure was defined as the need for a secondary intervention for UPJO, or worsening hydronephrosis during follow-up.
resultsA total of 15 patients with a median age of 8 months (range 5-11 months) and median weight 7 kg (range 5.6-9.8 kg) underwent RALP between 2016 and 2018, a matched cohort of 15 children who underwent OP similar in terms of age, weight, gender and affected side between 2014 and 2016. All children had prenatal diagnosis of hydronephrosis and underwent surgery utilizing combined general and regional (Caudal MO) anesthesia. Intrinsic obstruction was present in 13 of RALP group (86.7%) and in 14 in OP group (93.3%). Mean operative time was 67.8 + 13.4 min in RALP group, while 66.5 + 9.5 min in OP group. (p = 0.76) All but two patients in RALP group had stent inserted and required subsequent anesthesia for stent removal, while all OP children had a Salle Pyeloplasty stent inserted during the procedure and underwent removal in an ambulatory setting without the need for anesthesia. There were no failures recorded in the RALP group, while one patient in OP required a secondary intervention. Mean hospital stay was 1 day (1-2 days) for RALP and 2 days (2-3 days) for OP. There was no difference in FLACC Pain Scale in both groups. Clavien-Dindo grade I-II complications occurred in one patient from each group. Two patients from RALP underwent subsequent ureteral reimplantation due to accompanying uretero-vescical junction obstruction.
conclusionsOur data suggest that RALP can be performed safely in pediatric patients weighing less than 10 kg. with similar outcomes when compared to patients undergoing an open procedure for the same pathology.
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