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- Title
Robotic versus Open Pyeloplasty: Perioperative and Functional Outcomes.
- Authors
Moretto, Stefano; Gandi, Carlo; Bientinesi, Riccardo; Totaro, Angelo; Marino, Filippo; Gavi, Filippo; Russo, Andrea; Aceto, Paola; Pierconti, Francesco; Bassi, Pierfrancesco; Sacco, Emilio
- Abstract
We designed a retrospective study to assess the surgical and economic outcomes of robot-assisted laparoscopic pyeloplasty (RALP) compared with open pyeloplasty (OP), including consecutive patients suffering from ureteropelvic junction obstruction and operated on from January 2012 to January 2022 at a single center. Preoperative, intraoperative, and postoperative outcomes, including costs, were comparatively analyzed. The primary outcome was 3-month success, defined as symptom resolution and no obstruction upon diuretic renal scintigraphy. Overall, 91 patients were included (48 OP and 43 RALP). The success rate at 3 months was 93.0% and 83.3% in the RALP and OP group, respectively (p = 0.178), and the results remained stable at the last follow-up (35.4 ± 22.8 months and 56.0 ± 28.1 months, respectively). Intraoperative blood loss (p < 0.001), need for postoperative analgesics (p = 0.019) and antibiotics (p = 0.004), and early postoperative complication rate (p = 0.009) were significantly lower in the RALP group. None of the assessed variables were a predictor for failure. The mean total direct cost per surgical procedure and related hospital stay was 2373 € higher in the RALP group. RALP is an effective and safe treatment for ureteropelvic junction obstruction; however, further studies are needed to evaluate the cost-effectiveness of RALP, accounting for indirect costs and cost-saving with new surgical platforms.
- Subjects
URETERIC obstruction; SURGICAL blood loss; SURGICAL complications; FUNCTIONAL status; OPERATIVE surgery
- Publication
Journal of Clinical Medicine, 2023, Vol 12, Issue 7, p2538
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm12072538