Evidence map›Paper›PMID 41454318›Full record

ArticleBMC urology2025

Laparoscopic pyeloplasty in infants with ureteropelvic junction obstruction managed with the enhanced recovery after surgery approach: a single-center experience.

Ziqin He, Huajian Lai, Yifei Zhang, Qiang Guo, Wenwen Zhong, Juntao Li, Lei Ye, Jianguang Qiu, Dejuan Wang

Abstract read
In one paragraph

Article in BMC urology, 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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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ziqin HeDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China.
Huajian LaiDepartment of General surgery, Guangdong Provincial People's Hospital's Nanhai Hospital, Foshan, China.
Yifei ZhangDepartment of pediatric surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University; Biomedical Innovation Center, The Sixth Affiliated Hospital,, Sun Yat-Sen University, Guangzhou, 510655, China.
Qiang GuoDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China.
Wenwen ZhongDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China.
Juntao LiDepartment of pediatric surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University; Biomedical Innovation Center, The Sixth Affiliated Hospital,, Sun Yat-Sen University, Guangzhou, 510655, China.
Lei YeDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China.
Jianguang QiuDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China. qiujg@mail.sysu.edu.cn.
Dejuan WangDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China. wangdej@mail.sysu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report our single-center experience of laparoscopic pyeloplasty for the treatment of ureteropelvic junction obstruction (UPJO) in infants managed with the Enhanced Recovery After Surgery (ERAS) approach.

methodsThe clinical data of infants aged ≤ 12 months with UPJO who underwent laparoscopic pyeloplasty at our center from October 2018 to October 2023 and who were eligible for inclusion according to the inclusion and exclusion criteria were collected. General clinical, perioperative, and postoperative data were collected. All infants were managed with the ERAS approach. ERAS is a multidisciplinary perioperative approach designed to improve perioperative management and facilitate patient early recovery.

resultsOverall, 37 patients were included. All surgeries were successfully completed without conversion to open surgery. The median age of the patients was 2 (1, 4.5) months. The median weight was 6.5 (5.25, 7.25) kg. The mean surgical duration was 251.3 ± 65.4 min, and the mean hemorrhage volume was 7.4 ± 5.3 mL. There were no intraoperative complications. The mean postoperative pain score was 0.24 ± 0.86, and the median urinary catheter removal time was 1 (1, 1) day. The mean postoperative hospital length of stay was 2.7 ± 2.3 days, and the mean overall hospital stay was 6.5 ± 3.5 days. The mean hospital cost was 31,515.2 ± 5,550.9 yuan. Postoperative complications were observed in 9 patients (24.3%), including one patient (2.7%) with intestinal obstruction (Clavien-Dindo classification grade I), four (10.8%) with febrile urinary tract infection (Clavien-Dindo classification grade II), and four (10.8%) with distal ureteral stricture. The median time to double J-tube extraction was 35 (32,66) days, the mean follow-up time was 33.6 (± 20.7) months, and the success rate was 100% (37 of 37 patients).

conclusionsERAS-managed laparoscopic pyeloplasty is safe and effective in infants with UPJO.

Indexed as

Enhanced Recovery After SurgeryKidney PelvisLaparoscopyUreteral ObstructionUrologic Surgical ProceduresFemaleHumansInfantMaleRetrospective StudiesEnhanced recovery after surgeryInfantPyeloplastyUreteropelvic junction obstruction

Identifiers

PMID41454318
PMCPMC12853989

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LicenceCC BY-NC-ND
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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.