Shu Boshen, Zhang Shufeng, Gao Jian, Wang Lin, Wang Shuangshuang, Shi Ruoyi, Wang Xiaohui
Department of Pediatric Surgery, Henan Provincial People's Hospital, Zhengzhou, 450003, Henan Province, China.
Sci Rep. 2025 Aug 4;15(1):28435. doi: 10.1038/s41598-025-14603-x.
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.
肾盂输尿管连接处梗阻（UPJO）是儿童肾积水的常见原因。我们旨在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）相比，在新生儿UPJO治疗中的疗效。我们对2018年5月至2023年12月期间接受RALP或LP手术的3个月及以下新生儿进行了一项回顾性研究。仅纳入初次肾盂成形术病例。共纳入77例新生儿（RALP组46例；LP组31例），新生儿的人口统计学特征和术前参数无显著差异。平均手术时间（OT）为161.30±29.07分钟（RALP组）和200.60±26.66分钟（LP组）（P<0.0001），平均住院时间为7.80±1.13天（RALP组）和9.32±1.19天（LP组）（P<0.0001）。RALP的住院费用高于LP（73449±8513元 vs. 40152±7555元；P<0.0001）。RALP治疗新生儿UPJO的有效性和安全性与LP相当。此外，RALP可能在恢复更快和创伤更小方面优于LP。
