Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Robot-Assisted vs. Open Appendicovesicostomy in Pediatric Urology: A Systematic Review and Single-Center Case Series

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

  1. Acute Lymphoblastic Leukaemia in the Youngest: Haematopoietic Stem Cell Transplantation and Beyond

    Research output: Contribution to journalReviewpeer-review

  2. Cerebral oximetry in preterm infants – to use or not to use, that is the question

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Cerebral Oximetry in Preterm Infants-To Use or Not to Use, That Is the Question

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Lower urinary tract obstruction caused by fibroepithelial polyp in a newborn boy

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Recommendations for whole genome sequencing in diagnostics for rare diseases

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Epigenetics: Through the pediatric urology looking glass

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Organotypic Culture of Testicular Tissue from Infant Boys with Cryptorchidism

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Intestinal perfusion assessed by quantitative fluorescence angiography in piglets with necrotizing enterocolitis

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

Introduction: Appendicovesicostomy (APV) is the preferred choice of continent catheterizable channels in pediatric urology. The introduction of robot-assisted laparoscopic techniques has been correlated to superior cosmesis and convalescence and is now increasingly implemented for APV procedures. We aimed to perform a systematic review of the literature comparing open vs. robotic APV regarding possible differences in postoperative outcomes and to evaluate these findings with our own initial experiences with robotic APV compared to our previous open procedures.

Methods: We evaluated the first five patients undergoing robotic APV at our institution and compared 1-year outcomes with a consecutive series of 12 patients undergoing open APV. In a systematic literature review, we screened studies from PubMed, EMBASE, and CENTRAL comparing open and robotic APV in pediatric urology (current to December 2021) and performed meta-analyses on postoperative outcomes comparing the two groups and evaluated the grade of evidence.

Results: We found significantly shortened postoperative length of stay in the robotic group (p = 0.001) and comparable 1-year complication rates in robotic vs. open APV patients. We systematically screened 3,204 studies and ultimately included three non-randomized studies comparing postoperative outcomes of robotic and open APV for quantitative analysis. The open and robotic approaches performed equally well regarding overall postoperative complications, surgical reintervention, and stomal stenosis. Two of the included studies reported comparable stomal continence rates and shortened postoperative length of stay in the robotic group, in agreement with the findings in our own series.

Conclusion: Robotic APV is equally safe to the conventional open approach with additional advantages in postoperative hospitalization length.

Original languageEnglish
Article number908554
JournalFrontiers in Pediatrics
Volume10
Pages (from-to)908554
Number of pages7
ISSN2296-2360
DOIs
Publication statusPublished - 2022

Bibliographical note

Copyright © 2022 Juul, Persad, Willacy, Thorup, Fossum and Reinhardt.

    Research areas

  • pediatrics, urology, urinary diversion, cystostomy, robotic surgical procedures

ID: 78675702