SynthesisJournal of robotic surgery2025
Robotic-assisted versus conventional laparoscopic pyeloplasty in pediatric ureteropelvic junction obstruction: a meta-analysis of efficacy, safety, and age-stratified outcomes.
Synthesis in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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.
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Who cites it
4 citing papers in PubMed.
- Evaluating the Impact of Robot-Assisted Laparoscopic Pyeloplasty (RALP) on Pediatric Hydronephrosis with and Without Abdominal Pain Symptoms: A Cohort Study Using Inverse Probability of Treatment Weighting (IPTW).Journal of clinical medicine · 2026Article
- Pediatric Robotic Surgery in Romania: Review of the First 71 Cases Using the da Vinci Platform.Children (Basel, Switzerland) · 2026Article
- Comparison of robot-assisted and laparoscopic pyeloplasty for primary pediatric ureteropelvic junction obstruction: a retrospective multicenter study.Scientific reports · 2026Observational
- 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
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
To compare the efficacy and safety of robotic-assisted pyeloplasty (RALP) versus conventional laparoscopic pyeloplasty (CLP) in pediatric ureteropelvic junction obstruction (UPJO). A systematic review and meta-analysis was conducted, including randomized controlled trials and cohort studies from PubMed, EMBASE, and Cochrane Library (2000-2025). Outcomes assessed included success rates, operative time, length of hospital stay, intraoperative/postoperative complications and conversion rates. Subgroup analyses stratified patients by age (< 2 vs. ≥ 2 years) and anastomosis time to minimize heterogeneity from variable surgical phase definitions. Risk ratios (RR), mean differences (MD), and odds ratios (OR) were calculated using random-effects models. This meta-analysis of 26 studies (4066 pediatric patients) demonstrated consistent advantages for RALP over CLP. RALP was associated with a 54% lower odds of surgical failure (OR = 0.46, 95% CI 0.22-0.98, P = 0.04) and significantly shorter operative time (mean difference [MD] = - 17.3 min, 95% CI - 31.2 to - 3.4, P = 0.01), driven by a 28 min reduction in anastomotic time (MD = - 27.9, 95% CI - 52.9 to - 2.9, P = 0.03). RALP also reduced postoperative complications by 81% (OR = 1.81, 95% CI 1.21-2.69, P = 0.004), with a shorter hospital stay (MD = - 3.04 days, P < 0.00001). Subgroup analyses revealed stronger benefits in children ≥ 2 years (operative time MD = 17.27 min, P = 0.02), while infants < 2 years showed high heterogeneity (I
Indexed as
Identifiers
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Registered trials
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.