Robot-assisted Laparoscopic Ureteral Reimplantation in Pre-toilet Trained Children With Vesicoureteral Reflux.

IF 2.1 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology Pub Date : 2025-01-01 Epub Date: 2024-10-22 DOI:10.1016/j.urology.2024.10.030

Suhaib Abdulfattah, Emily Ai, Marina Quairoli, Sahar Eftekharzadeh, Katherine Fischer, Aznive Aghababian, John Weaver, Karl Godlewski, Christopher Long, Dana Weiss, Sameer Mittal, Aseem Shukla, Arun Srinivasan

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引用次数: 0

Abstract

Objective: To evaluate the outcomes of pre-toilet trained children undergoing robot-assisted laparoscopic ureteral reimplantation (RALUR) for the treatment of primary VUR at our institution and compare these to an older cohort.

Materials and methods: This retrospective study analyzed data from a single institution's registry, comparing outcomes between pre-toilet trained and toilet trained children who underwent RALUR for primary VUR. Preoperative parameters, surgical details, and postoperative outcomes were evaluated.

Results: The study included 158 patients, with 24 in the pre-toilet trained group and 134 in the toilet trained group. Both cohorts exhibited similar demographics and preoperative characteristics. Operative times, complication rates, and surgical outcomes were comparable between the groups, despite the pre-toilet trained group presenting with more severe VUR grades. Incidence of febrile urinary tract infection after surgery and need for further intervention did not significantly differ between the cohorts.

Conclusion: The current study demonstrates the feasibility, success, and safety of RALUR in pre-toilet trained compared to toilet trained children and thus supports the stance that it is a viable alternative to open surgery.

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机器人辅助腹腔镜输尿管再植术在膀胱输尿管反流患儿中的应用

目的评估本院接受 RALUR 治疗原发性 VUR 的未如厕儿童的疗效，并将其与年龄较大的队列进行比较：这项回顾性研究分析了来自一家医疗机构登记处的数据，比较了接受 RALUR 治疗原发性 VUR 的如厕前训练儿童和如厕训练儿童的治疗效果。对术前参数、手术细节和术后结果进行了评估：该研究共纳入158名患者，其中24名患者为便前训练组，134名患者为如厕训练组。两组患者的人口统计学和术前特征相似。两组患者的手术时间、并发症发生率和手术效果相当，尽管如厕前训练组患者的 VUR 分级更严重。术后发热性尿道炎的发生率和进一步干预的需要在两组之间没有显著差异：当前的研究表明，与接受过如厕训练的儿童相比，接受过如厕训练前的儿童接受 RALUR 手术是可行的、成功的和安全的，因此支持这种观点，即 RALUR 是开放手术的可行替代方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urology 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

9.50%

发文量

716

审稿时长

59 days

期刊介绍： Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.