Da Vinci robotic assisted pyeloplasty versus laparoscopic pyeloplasty in newborns under 3 months.

IF 3.9 2区综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES

Scientific Reports Pub Date : 2025-08-04 DOI:10.1038/s41598-025-14603-x

Boshen Shu, Shufeng Zhang, Jian Gao, Lin Wang, Shuangshuang Wang, Ruoyi Shi, Xiaohui Wang

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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.

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达芬奇机器人辅助肾盂成形术与腹腔镜肾盂成形术在3个月以下新生儿中的比较。

肾盂输尿管交界处梗阻（UPJO）是儿童肾盂积水的常见原因。我们的目的是研究机器人辅助腹腔镜肾盂成形术（RALP）与腹腔镜肾盂成形术（LP）在新生儿UPJO中的疗效。我们对2018年5月至2023年12月期间接受RALP或LP治疗的年龄≤3个月的新生儿进行了回顾性研究。仅包括原发性肾盂成形术病例。77例新生儿(RALP = 46；LP = 31)，两组新生儿的人口学特征和术前参数均无显著差异。平均手术时间（OT）为161.30±29.07 min (RALP), 200.60±26.66 min （LP）

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来源期刊

Scientific Reports Natural Science Disciplines-

CiteScore

7.50

自引率

4.30%

发文量

19567

审稿时长

3.9 months

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