Da Vinci robotic assisted pyeloplasty versus laparoscopic pyeloplasty in newborns under 3 months
Abstract Ureteropelvic junction obstruction (UPJO) is a common cause of hydronephrosis in children. We aimed to investigate the efficacy of robotic-assisted laparoscopic pyeloplasty (RALP) in newborns with UPJO compared to laparoscopic pyeloplasty (LP). We conducted a retrospective study of newborns...
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Nature Portfolio
2025-08-01
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| Online Access: | https://doi.org/10.1038/s41598-025-14603-x |
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| author | Boshen Shu Shufeng Zhang Jian Gao Lin Wang Shuangshuang Wang Ruoyi Shi Xiaohui Wang |
| author_facet | Boshen Shu Shufeng Zhang Jian Gao Lin Wang Shuangshuang Wang Ruoyi Shi Xiaohui Wang |
| author_sort | Boshen Shu |
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| description | Abstract Ureteropelvic junction obstruction (UPJO) is a common cause of hydronephrosis in children. We aimed to investigate the efficacy of robotic-assisted laparoscopic pyeloplasty (RALP) in newborns with UPJO compared to laparoscopic pyeloplasty (LP). We conducted a retrospective study of newborns aged ≤ 3 months who underwent RALP or LP from May 2018 to December 2023. Only primary pyeloplasty cases were included. Seventy-seven newborns (RALP = 46; LP = 31) were enrolled and no significant difference in the newborns’ demographics and pre-operative parameters was found. The mean operation time (OT) was 161.30 ± 29.07 min (RALP) and 200.60 ± 26.66 min (LP) (P < 0.0001), and the mean hospitalization stay was 7.80 ± 1.13 days (RALP) and 9.32 ± 1.19 days (LP) (P < 0.0001). RALP was associated with a higher hospitalization cost than LP (73449 ± 8513 yuan vs. 40152 ± 7555 yuan; P < 0.0001). The effectiveness and safety of RALP for treating UPJO in newborns is comparable to that of LP. In addition, RALP might have advantages over LP with its faster recovery and less trauma. |
| format | Article |
| id | doaj-art-54cd9d567df74007bc5af79d237e1374 |
| institution | DOAJ |
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| language | English |
| publishDate | 2025-08-01 |
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| spelling | doaj-art-54cd9d567df74007bc5af79d237e13742025-08-20T03:05:25ZengNature PortfolioScientific Reports2045-23222025-08-011511710.1038/s41598-025-14603-xDa Vinci robotic assisted pyeloplasty versus laparoscopic pyeloplasty in newborns under 3 monthsBoshen Shu0Shufeng Zhang1Jian Gao2Lin Wang3Shuangshuang Wang4Ruoyi Shi5Xiaohui Wang6Department of Pediatric Surgery, Henan Provincial People’s HospitalDepartment of Pediatric Surgery, Henan Provincial People’s HospitalDepartment of Pediatric Surgery, Henan Provincial People’s HospitalDepartment of Pediatric Surgery, Henan Provincial People’s HospitalDepartment of Pediatric Surgery, Henan Provincial People’s HospitalDepartment of Pediatric Surgery, Henan Provincial People’s HospitalDepartment of Pediatric Surgery, Henan Provincial People’s HospitalAbstract Ureteropelvic junction obstruction (UPJO) is a common cause of hydronephrosis in children. We aimed to investigate the efficacy of robotic-assisted laparoscopic pyeloplasty (RALP) in newborns with UPJO compared to laparoscopic pyeloplasty (LP). We conducted a retrospective study of newborns aged ≤ 3 months who underwent RALP or LP from May 2018 to December 2023. Only primary pyeloplasty cases were included. Seventy-seven newborns (RALP = 46; LP = 31) were enrolled and no significant difference in the newborns’ demographics and pre-operative parameters was found. The mean operation time (OT) was 161.30 ± 29.07 min (RALP) and 200.60 ± 26.66 min (LP) (P < 0.0001), and the mean hospitalization stay was 7.80 ± 1.13 days (RALP) and 9.32 ± 1.19 days (LP) (P < 0.0001). RALP was associated with a higher hospitalization cost than LP (73449 ± 8513 yuan vs. 40152 ± 7555 yuan; P < 0.0001). The effectiveness and safety of RALP for treating UPJO in newborns is comparable to that of LP. In addition, RALP might have advantages over LP with its faster recovery and less trauma.https://doi.org/10.1038/s41598-025-14603-xUreteropelvic junction obstructionRobot-assistedLaparoscopyNewbornPyeloplastyRetrospective study |
| spellingShingle | Boshen Shu Shufeng Zhang Jian Gao Lin Wang Shuangshuang Wang Ruoyi Shi Xiaohui Wang Da Vinci robotic assisted pyeloplasty versus laparoscopic pyeloplasty in newborns under 3 months Scientific Reports Ureteropelvic junction obstruction Robot-assisted Laparoscopy Newborn Pyeloplasty Retrospective study |
| title | Da Vinci robotic assisted pyeloplasty versus laparoscopic pyeloplasty in newborns under 3 months |
| title_full | Da Vinci robotic assisted pyeloplasty versus laparoscopic pyeloplasty in newborns under 3 months |
| title_fullStr | Da Vinci robotic assisted pyeloplasty versus laparoscopic pyeloplasty in newborns under 3 months |
| title_full_unstemmed | Da Vinci robotic assisted pyeloplasty versus laparoscopic pyeloplasty in newborns under 3 months |
| title_short | Da Vinci robotic assisted pyeloplasty versus laparoscopic pyeloplasty in newborns under 3 months |
| title_sort | da vinci robotic assisted pyeloplasty versus laparoscopic pyeloplasty in newborns under 3 months |
| topic | Ureteropelvic junction obstruction Robot-assisted Laparoscopy Newborn Pyeloplasty Retrospective study |
| url | https://doi.org/10.1038/s41598-025-14603-x |
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