Evidence map›Paper›PMID 35861906›Full record

ArticleInternational urology and nephrology2022

Laparoscopic and robot-assisted ureterocalicostomy for treatment of primary and recurrent pelvi-ureteric junction obstruction in children: a multicenter comparative study with laparoscopic and robot-assisted Anderson-Hynes pyeloplasty.

Ciro Esposito, Thomas Blanc, Dariusz Patkowski, Pedro José Lopez, Lorenzo Masieri, Anne-Francoise Spinoit, Maria Escolino

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in International urology and nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

Ciro EspositoDivision of Pediatric Surgery Unit, Federico II University Hospital, Via Pansini 5, 80131, Naples, Italy.
Thomas BlancDepartment of Pediatric Surgery, Hôpital Universitaire Necker-Enfants Malades, Paris, France.
Dariusz PatkowskiDepartment of Pediatric Surgery and Urology, Wroclaw Medical University, Wroclaw, Poland.
Pedro José LopezDepartment of Pediatric Urology, Exequiel González Cortés Hospital, Santiago, Chile.
Lorenzo MasieriDepartment of Pediatric Urology, Meyer Children Hospital, Florence, Italy.
Anne-Francoise SpinoitDepartment of Urology, ERN Eurogen Accredited Centre, Ghent University Hospital, Ghent, Belgium.
Maria EscolinoDivision of Pediatric Surgery Unit, Federico II University Hospital, Via Pansini 5, 80131, Naples, Italy. x.escolino@libero.it.
Federico II University Hospital · ITGhent University Hospital · BEHôpital Necker-Enfants Malades · FRMeyer Children's Hospital · ITWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis multi-institutional study aimed to assess the outcomes of laparoscopic ureterocalicostomy (LUC) and robot-assisted laparoscopic ureterocalicostomy (RALUC) and compare them with laparoscopic pyeloplasty (LP) and robot-assisted laparoscopic pyeloplasty (RALP) in children with pelvi-ureteric junction obstruction (PUJO).

methodsThe data of 130 patients (80 boys), with median age 7.6 years and median weight 33.8 kg, receiving minimally invasive treatment of PUJO over a 6-year period, were retrospectively analyzed. Patients were grouped according to the operative approach: G1 included 15 patients, receiving LUC (n = 9) and RALUC (n = 6), and G2 included 115 patients, receiving LP (n = 30) and RALP (n = 85). Patient characteristics and operative outcomes were compared in both groups.

resultsThe median patient age and weight were significantly higher in G1 than in G2 [p = 0.001]. The median operative time was similar in both groups (157.6 vs 150.1 min) [p = 0.66] whereas the median anastomotic time was shorter in G1 than in G2 (59.5 vs 83.1 min) [p = 0.03]. The surgical success rate was similar in both groups (100% vs 97.4%) [p = 0.33]. Post-operative complications rate was higher in G1 than in G2 (20% vs 6.1%) but all G1 complications were Clavien 2 and did not require re-intervention.

conclusionLUC/RALUC can be considered safe and effective alternative approaches to LP/RALP for PUJO repair and reported excellent outcomes as primary and salvage procedures. Robot-assisted technique was the preferred option to treat most patients with recurrent PUJO in both groups.

Indexed as

LaparoscopyRoboticsRobotic Surgical ProceduresUreteral ObstructionChildHumansHydronephrosisKidney PelvisMaleMulticystic Dysplastic KidneyRetrospective StudiesTreatment OutcomeUrologic Surgical ProceduresChildrenLaparoscopyPUJORecurrentRoboticsUreterocalicostomy

Identifiers

PMID35861906
PMCPMC9463286
OpenAlexW4286494961

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Registered trials

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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.