ArticleWorld journal of urology2022
Laparoscopic and robotic pyeloplasty as minimally invasive alternatives to the open approach for the treatment of uretero-pelvic junction obstruction in infants: a multi-institutional comparison of outcomes and learning curves.
Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Robotic-assisted versus conventional laparoscopic pyeloplasty in pediatric ureteropelvic junction obstruction: a meta-analysis of efficacy, safety, and age-stratified outcomes.Journal of robotic surgery · 2025Pooled it
- The efficacy of robotic-assisted laparoscopic pyeloplasty for pediatric ureteropelvic junction obstruction: a systematic review and meta-analysis.Pediatric surgery international · 2023Pooled it
- Robotic-assisted pyeloplasty in children: a systematic review of the literature.Journal of robotic surgery · 2023Pooled it
- Pooled it
- Comparison of outcomes of open, laparoscopic, and robot-assisted laparoscopic pyeloplasty in children with pelviureteric junction obstruction: a systematic review and meta-analysis.Translational andrology and urology · 2026Article
- Robot-Assisted Versus Laparoscopic Ureteroureterostomy for Duplicated Kidney Malformations in Infants: A Comparative Cohort Study.Children (Basel, Switzerland) · 2026Article
- Comparative Outcomes of Robot-Assisted and Laparoscopic Pyeloplasty in Infants and Toddlers: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2026Review
- Two decades of robotic pediatric urology: a single-surgeon evolution from adoption to excellence.Journal of robotic surgery · 2026Review
- Beyond the narrow passage: comparative outcomes of laparoscopic and robotic pyeloplasty in infants.Pediatric surgery international · 2026Article
- Article
- Robot-assisted pedicled colonic flap pyeloplasty for the treatment of complicated ureteropelvic junction obstruction: technique and outcomes from a single center.Surgical endoscopy · 2025Article
- Article
- Learning curve in robotic surgery for ureteropelvic junction obstruction in children: how to best define a reliable learning process through CUSUM analysis.Frontiers in surgery · 2025Article
- Robot-assisted laparoscopic Anderson-Hynes pyeloplasty for ureteropelvic junction obstruction.Journal of robotic surgery · 2024Article
- Are weight or age limits for pediatric laparoscopic pyeloplasty? Results of a multicentric study.World journal of urology · 2023Article
- Learning Curves in Pediatric Robot-Assisted Pyeloplasty: A Systematic Review.Journal of clinical medicine · 2022Review
- Ureteropelvic junction obstruction in infants: Open or minimally invasive surgery? A systematic review and meta-analysis.Frontiers in pediatrics · 2022Review
- Pediatric robotic urologic procedures: Indications and outcomes.Indian journal of urology : IJU : journal of the Urological Society of IndiaReview
- Redo Laparoscopic Pyeloplasty in Children: Results from a Multicentric Series.International braz j urol : official journal of the Brazilian Society of UrologyArticle
- Minimally invasive versus open pyeloplasty in pediatric population: Comparative retrospective study in tertiary centre.Urology annalsArticle
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince the development of minimally invasive surgery (MIS), laparoscopic and robotic approaches have been widely adopted. However, little has been published detailing the learning curve of MIS, especially in infants.
objectiveTo quantify the learning curve of laparoscopic (LP) and robot-assisted laparoscopic pyeloplasty (RAL-P) for treatment of uretero-pelvic junction obstruction (UPJO) in infants evidenced by number of cases, operative time, success and complications. PATIENTS AND
methodsBetween 2009 and 2017, we retrospectively reviewed pyeloplasty cases for treatment of UPJO in infants at three academic institutions. The primary outcome was success. Secondary outcomes were UPJO recurrence, complications, and operative time as a surrogate of skill acquisition. Continuous variables were analyzed by t test, Welch-test, and one-way ANOVA. Non-continuous variables were analyzed by Chi-squared test or Fisher's exact test. Learning curves (LC) were studied by r-to-z transformation and CUSUM.
resultsThirty-nine OP, 26 LP, and 39 RAL-P had mean operative times (OT) of 106, 121, and 151 min, respectively. LCs showed plateau in OT after 18 and 13 cases for LP and RAL-P, respectively. RAL-P showed a second phase of further improvements after 37 cases. At 16 months follow-up, there were similar rates of success and complications between the three groups.
conclusionsDespite different duration of learning phases, proficiency was achieved in both LP and RAL-P as evidenced by stabilization of operative time and similar success rates and complications to OP. Before and after achievement of proficiency, LP and RAL-P can be safely learned and implemented for treatment of UPJO in infants.
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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.