ArticleFrontiers in surgery2025
Single-center results from the first 100 robotic ureteral reimplantation in children: analysis of learning curve effects.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Robot-assisted laparoscopic ureteral reimplantation (RALUR) is increasingly utilized in pediatric urology, yet outcomes vary widely and the learning curve remains under-investigated. This study aims to evaluate perioperative outcomes and learning curve progression during the first 100 pediatric RALUR procedures performed by a single surgeon. Methods: A prospective, single-center study was conducted on 100 RALUR procedures in 96 pediatric patients between May 2020 and May 2025. The cohort was divided into two groups (first 50 cases vs. second 50) to assess the impact of surgical experience on outcomes. Surgical techniques included both dismembered (D-RALUR) and non-dismembered ( Results: Success rates improved significantly from 66% in Group A to 84% in Group B ( Discussion: RALUR is a safe and effective technique for ureteral reimplantation in children, even in complex or redo cases. Surgical outcomes improved with experience, underscoring a manageable learning curve. The implementation of standardized techniques and increased surgeon expertise contributed to enhanced success rates and reduced morbidity. These findings support early integration of robotic training in pediatric urology and the broader adoption of RALUR in centers with appropriate expertise.
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