Comparison of hidden incision endoscopic surgery and traditional port placement for robotic assisted laparoscopic pyeloplasty in children with ureteropelvic junction obstruction
Liu Yujing
Liu Dehong
Zhou Huixia
Ma Lifei
Cao Hualin
Zhou Xiaoguang
Tao Tian
Hao Xuemei
Abstract：Objective:To compare the efficacy and safety of hidden incision endoscopic surgery(HIdES)vs. traditional port placement(TPP)for robot-assisted laparoscopic pyeloplasty(RALP)in children ureteropelvic junction obstruction.Methods:The clinical data of 37 children who underwent RALP between 21 March 2017 and 30 June 2017 were reviewed.TPP for RALP was performed on 15 cases(TPP group),and HIdES for RALP was performed on 22 cases(HIdES group).We assessed preoperative clinical data and outcomes,and analyzed the transition experience.Data were expressed as medians for continuous variables.Results:All operations were suc-cessful with no serious intraoperative complication.There were no significant differences in demographics and clin-ical presentation between two groups(P>0.05).There were no significant differences in operative time,drain re-moval,start of oral feeding and hospital stay between HIdES group and TPP group(P>0.05).However,there was significant difference in Clavien Ⅰ and Ⅱ complications postoperatively between HIdES group and TPP group (P<0.05),and the cosmetic result of HIdES group was better than that of TPP group.Conclusions:HIdES and TPP for RALP in children with UPJO are safe and efficient procedures with equivalent success rate.However, HIdES for RALP may have the advantages of convenient operation and cosmetic result.We propose that HIdES for RALP is potentially a recommended feasible treatment option for children with UPJO.
Keywords：robot-assisted laparoscopic pyeloplastytraditional port placementhidden incision endoscopic surgerypediatric hydronephrosisureteropelvic junction obstruction
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 6-10 )