Enhancing pediatric robotic pyeloplasty with a no-touch urothelium approach: a case series
Abstract Background Robotic-assisted laparoscopic surgery has advanced minimally invasive urology. However, the absence of haptic feedback may increase the risk of tissue trauma. This case series evaluates a no-touch technique in robotic-assisted pyeloplasty to minimize urothelial handling and asses...
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| Language: | English |
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BMC
2025-04-01
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| Series: | BMC Urology |
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| Online Access: | https://doi.org/10.1186/s12894-025-01782-y |
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| author | Niklas Pakkasjärvi Pyry Jaakkola Liisi Ripatti Seppo Taskinen |
| author_facet | Niklas Pakkasjärvi Pyry Jaakkola Liisi Ripatti Seppo Taskinen |
| author_sort | Niklas Pakkasjärvi |
| collection | DOAJ |
| description | Abstract Background Robotic-assisted laparoscopic surgery has advanced minimally invasive urology. However, the absence of haptic feedback may increase the risk of tissue trauma. This case series evaluates a no-touch technique in robotic-assisted pyeloplasty to minimize urothelial handling and assess its feasibility and short-term outcomes. Methods This retrospective case series reviewed 20 pediatric patients with ureteropelvic junction obstruction treated with robotic-assisted pyeloplasty between 2019 and 2022. In 10 cases, a no-touch urothelium approach was applied to minimize direct tissue handling. Patient selection, surgical details, perioperative outcomes, and follow-up at 6 and 12 months were documented. Results The no-touch approach was successfully implemented in all cases without intraoperative complications. Median console time was 98 min (IQR: 81–131). Postoperative outcomes were favorable, with significant improvement or resolution of hydronephrosis in all cases. No major complications occurred, and no anastomotic strictures were observed during follow-up. Conclusions The no-touch technique in robotic-assisted pyeloplasty is a feasible approach that maintains surgical efficiency while minimizing direct urothelial handling. Further studies with larger sample sizes and longer follow-up are needed to validate its potential benefits. Trial registration This study was approved by the Institutional Review Board of New Children’s Hospital, Helsinki University Hospital (permit nr 5485), Finland. |
| format | Article |
| id | doaj-art-124665a901ef4efc80204ba307dec0e3 |
| institution | OA Journals |
| issn | 1471-2490 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj-art-124665a901ef4efc80204ba307dec0e32025-08-20T02:17:52ZengBMCBMC Urology1471-24902025-04-012511410.1186/s12894-025-01782-yEnhancing pediatric robotic pyeloplasty with a no-touch urothelium approach: a case seriesNiklas Pakkasjärvi0Pyry Jaakkola1Liisi Ripatti2Seppo Taskinen3Department of Pediatric Surgery, Section of Urology, New Children’s Hospital, Helsinki University Hospital and University of HelsinkiDepartment of Pediatric Surgery, Section of Urology, New Children’s Hospital, Helsinki University Hospital and University of HelsinkiFaculty of Medicine, University of Turku, Turku University HospitalDepartment of Pediatric Surgery, Section of Urology, New Children’s Hospital, Helsinki University Hospital and University of HelsinkiAbstract Background Robotic-assisted laparoscopic surgery has advanced minimally invasive urology. However, the absence of haptic feedback may increase the risk of tissue trauma. This case series evaluates a no-touch technique in robotic-assisted pyeloplasty to minimize urothelial handling and assess its feasibility and short-term outcomes. Methods This retrospective case series reviewed 20 pediatric patients with ureteropelvic junction obstruction treated with robotic-assisted pyeloplasty between 2019 and 2022. In 10 cases, a no-touch urothelium approach was applied to minimize direct tissue handling. Patient selection, surgical details, perioperative outcomes, and follow-up at 6 and 12 months were documented. Results The no-touch approach was successfully implemented in all cases without intraoperative complications. Median console time was 98 min (IQR: 81–131). Postoperative outcomes were favorable, with significant improvement or resolution of hydronephrosis in all cases. No major complications occurred, and no anastomotic strictures were observed during follow-up. Conclusions The no-touch technique in robotic-assisted pyeloplasty is a feasible approach that maintains surgical efficiency while minimizing direct urothelial handling. Further studies with larger sample sizes and longer follow-up are needed to validate its potential benefits. Trial registration This study was approved by the Institutional Review Board of New Children’s Hospital, Helsinki University Hospital (permit nr 5485), Finland.https://doi.org/10.1186/s12894-025-01782-yRobotic-surgeryPyeloplastyHaptic feedbackMinimally invasive approachesCase series |
| spellingShingle | Niklas Pakkasjärvi Pyry Jaakkola Liisi Ripatti Seppo Taskinen Enhancing pediatric robotic pyeloplasty with a no-touch urothelium approach: a case series BMC Urology Robotic-surgery Pyeloplasty Haptic feedback Minimally invasive approaches Case series |
| title | Enhancing pediatric robotic pyeloplasty with a no-touch urothelium approach: a case series |
| title_full | Enhancing pediatric robotic pyeloplasty with a no-touch urothelium approach: a case series |
| title_fullStr | Enhancing pediatric robotic pyeloplasty with a no-touch urothelium approach: a case series |
| title_full_unstemmed | Enhancing pediatric robotic pyeloplasty with a no-touch urothelium approach: a case series |
| title_short | Enhancing pediatric robotic pyeloplasty with a no-touch urothelium approach: a case series |
| title_sort | enhancing pediatric robotic pyeloplasty with a no touch urothelium approach a case series |
| topic | Robotic-surgery Pyeloplasty Haptic feedback Minimally invasive approaches Case series |
| url | https://doi.org/10.1186/s12894-025-01782-y |
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