ArticleInternational braz j urol : official journal of the Brazilian Society of Urology
Multicenter comparative study of open, laparoscopic, and robotic pyeloplasty in the pediatric population for the treatment of ureteropelvic junction obstruction (UPJO).
Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 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
- Robot-Assisted Anderson-Hynes Pyeloplasty for Lower-Moiety Ureteropelvic Junction Obstruction in an Incomplete Duplex Collecting System Presenting as Dietl's Crisis: A Case Report.Children (Basel, Switzerland) · 2026Article
- Comparison of the treatment effect of laparoscopic and robot-assisted single-port laparoscopic pyeloplasty on ureteropelvic junction obstruction in infants.Journal of robotic surgery · 2025Article
- Comparison of robot-assisted and laparoscopic pyeloplasty with flexible ureteroscopy for managing concomitant ureteropelvic junction obstruction and renal calculi in children.Translational pediatrics · 2025Article
- Preliminary results of feasibility, safety and efficacy of robotic assisted laparoscopic pyeloplasty with the SHURUI single-port robotic surgical platform in children.Journal of robotic surgery · 2025Article
- Advancements and outcomes of robotic-assisted surgery in pediatric patients: a multicenter analysis.Frontiers in pediatrics · 2025Article
- Article
- Efficacy of laparoscopic pyeloplasty for pediatric hydronephrosis caused by symptomatic versus asymptomatic endogenous ureteropelvic junction obstruction: a retrospective analysis.The Journal of international medical research · 2024Article
- Comparison of robot-assisted single-port-plus-one pyeloplasty vs. laparoscopic single-port pyeloplasty in the treatment of ureteropelvic junction obstruction in children.Frontiers in pediatrics · 2024Article
- Laparoscopic pyeloplasty proficiency during a residency program after adoption of a standardized simulation training program is maintained during the COVID pandemic despite reduced surgery volume.International braz j urol : official journal of the Brazilian Society of UrologyArticle
- Minimally invasive surgery for pyeloplasty poised to become The preferred surgical technique irrespective of age.International braz j urol : official journal of the Brazilian Society of UrologyArticle
- Primary monosymptomatic nocturnal enuresis highlighted in this number of International Brazilian Journal of Urology.International braz j urol : official journal of the Brazilian Society of UrologyArticle
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Authors and funding
14 authors at 7 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDismembered open pyeloplasty described by Anderson and Hynes is the "gold standard" for the treatment of ureteropelvic junction obstruction. The aim of our study was to compare the results of open (OP) vs laparoscopic (LP) vs robotic (RALP) pyeloplasty. MATERIAL AND
methodsA multicenter prospective review was conducted of pyeloplasty surgeries performed at five high-volume centers between 2014 and 2018. Demographic data, history of prenatal hydronephrosis, access type, MAG3 renogram and differential renal function, surgery time, length of hospital stay, and complication rate (Clavien-Dindo) were recorded. Access type was compared using the Kruskal-Wallis, Chi-square, or Fisher's exact tests.
resultsA total of 322 patients were included: 62 OP, 86 LP, and 174 RALP. The mean age was 8.13 (r: 1-16) years, with a statistically significant lower age (mean 5 years) in OP (p < 0.001). There were no significant differences in the distribution of the side affected. Operative time was 110.5 min for OP, 140 min for LP, and 179 min for RALP (p < 0.0001). Hospital stay was significantly shorter in the RALP group than in the other groups (p < 0.0001). There were no differences in postoperative complications and reoperations between the three groups.
conclusionsMinimally invasive surgery for the management of UPJO in children is gaining more acceptance, even in patients younger than 1-year-old. Operative time continues to be significantly shorter in OP than in LP and RALP. Hospital stay was shorter in RALP compared to the other techniques. No differences were found in complication rates, type of complications, and reoperation rate.
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