Evidence map›Paper›PMID 31435732›Full record

Trial reportWorld journal of urology2020

Laparoscopy versus robotic-assisted pyeloplasty in children: preliminary results of a pilot prospective randomized controlled trial.

Mesrur Selcuk Silay, Onur Danacioglu, Kerem Ozel, M Ihsan Karaman, Turhan Caskurlu

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 7 pooled it
4.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 7 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  10. [Preliminary application of domestic single-port serpentine arm robotic surgical system in children's pyeloplasty].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Mesrur Selcuk SilayDepartment of Pediatric Urology, Istanbul Gelisim University & Istanbul Memorial Hospital, Istanbul, Turkey. selcuksilay@gmail.com.ORCID http://orcid.org/0000-0001-5091-9654
Onur DanaciogluDepartment of Urology, Istanbul Medeniyet University, Istanbul, Turkey.
Kerem OzelDepartment of Pediatric Surgery, Istanbul Medeniyet University, Istanbul, Turkey.
M Ihsan KaramanDepartment of Urology, Istanbul Medeniyet University, Istanbul, Turkey.
Turhan CaskurluDepartment of Urology, Istanbul Medeniyet University, Istanbul, Turkey.
Istanbul Medeniyet University · TRİstanbul Gelişim Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this randomized controlled trial (RCT) is to compare the outcomes of conventional laparoscopic pyeloplasty (LP) versus robotic-assisted laparoscopic pyeloplasty (RALP) in the treatment of ureteropelvic junction obstruction (UPJO) in children.

methodsA total of 53 patients with UPJO were randomized as LP (Group 1, n: 27) and RALP (Group 2, n: 26). Redo cases and patients with anatomical abnormalities were excluded. Urinary ultrasound was performed at postoperative 3, 6 and 12 months; whereas, diuretic renal scintigraphy was performed at 1 year. Failure was defined as progressive hydronephrosis on ultrasound, decline in renal function, or symptom relapse. All parameters were statistically compared.

resultsThe mean age of the patients was 55.53 ± 57.25 months. There were no statistical differences between the groups in terms of patient gender, body mass index, laterality, preoperative renal function, renal pelvis antero-posterior diameter and presence of crossing vessel. Mean total operative time in LP group was longer than RALP (139 min vs 105 min, respectively, p = 0.001). The hospital stay was similar between the two groups. After a mean follow-up of 12.43 ± 5.34 months, the complication and success rates were found comparable. Only two patients required re-do pyeloplasty in LP group. The mean total cost of RALP procedure was approximately four times higher than LP.

conclusionsThis is the first RCT comparing LP and RALP in pediatric population. Both LP and RALP are safe and effective in children with comparable success and complication rates. Operative time was longer for LP; whereas, total cost was higher for RALP.

Indexed as

LaparoscopyRobotic Surgical ProceduresAdolescentChildChild, PreschoolFemaleHumansInfantKidney PelvisMalePilot ProjectsProspective StudiesTreatment OutcomeUreteral ObstructionChildrenLaparoscopyPyeloplastyRobotic pyeloplastyRobotics

Identifiers

PMID31435732
OpenAlexW2969287599

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.