Cargando…

Robot-assisted laparoscopic surgery for treatment of urinary tract stones in children: report of a multicenter international experience

This study aimed to report a multi-institutional experience with robot-assisted laparoscopic surgery (RALS) for treatment of urinary tract stones in children. The medical records of 15 patients (12 boys), who underwent RALS for urolithiasis in 4 international centers of pediatric urology over a 5-ye...

Descripción completa

Detalles Bibliográficos
Autores principales: Esposito, Ciro, Masieri, Lorenzo, Blanc, Thomas, Lendvay, Thomas, Escolino, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8560673/
https://www.ncbi.nlm.nih.gov/pubmed/33993337
http://dx.doi.org/10.1007/s00240-021-01271-5
_version_ 1784592966248038400
author Esposito, Ciro
Masieri, Lorenzo
Blanc, Thomas
Lendvay, Thomas
Escolino, Maria
author_facet Esposito, Ciro
Masieri, Lorenzo
Blanc, Thomas
Lendvay, Thomas
Escolino, Maria
author_sort Esposito, Ciro
collection PubMed
description This study aimed to report a multi-institutional experience with robot-assisted laparoscopic surgery (RALS) for treatment of urinary tract stones in children. The medical records of 15 patients (12 boys), who underwent RALS for urolithiasis in 4 international centers of pediatric urology over a 5-year period, were retrospectively collected. The median patient age was 8.5 years (range 4–15). Eleven/fifteen patients (73.3%) had concurrent uretero–pelvic junction obstruction (UPJO) and 2/15 patients (13.3%) had neurogenic bladder. Stones were in the renal pelvis in 8/15 (53.3%), in the lower pole in 3/15 (20%), in the bladder in 2/15 (13.3%), and in multiple locations in 2/15 (13.3%). One patient (6.6%) had bilateral multiple kidney stones. The median stone size was 10.8 mm (range 2–30) in upper tract location and 27 mm (range 21–33) into the bladder. Eleven patients with concomitant UPJO underwent simultaneous robot-assisted pyelolithotomy and pyeloplasty in 12 kidney units. Two patients with isolated staghorn stones received robot-assisted pyelolithotomy. Robot-assisted cystolithotomy was performed in two patients with bladder stones. The median operative time was 131.8 min (range 60–240). The stone-free rate was 80% following initial surgery and 100% after secondary treatment. Clavien 2 complications (hematuria, infections) were recorded in 5/15 patients (33.3%). Three/fifteen patients (20%) with residual renal stones were successfully treated using ureterorenoscopy (Clavien 3b). RALS was a feasible, safe and effective treatment option for pediatric urolithiasis in selected cases such as large bladder stones, bilateral kidney stones, staghorn stones or concomitant anomalies such as UPJO requiring simultaneous pyeloplasty. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00240-021-01271-5.
format Online
Article
Text
id pubmed-8560673
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-85606732021-11-15 Robot-assisted laparoscopic surgery for treatment of urinary tract stones in children: report of a multicenter international experience Esposito, Ciro Masieri, Lorenzo Blanc, Thomas Lendvay, Thomas Escolino, Maria Urolithiasis Original Paper This study aimed to report a multi-institutional experience with robot-assisted laparoscopic surgery (RALS) for treatment of urinary tract stones in children. The medical records of 15 patients (12 boys), who underwent RALS for urolithiasis in 4 international centers of pediatric urology over a 5-year period, were retrospectively collected. The median patient age was 8.5 years (range 4–15). Eleven/fifteen patients (73.3%) had concurrent uretero–pelvic junction obstruction (UPJO) and 2/15 patients (13.3%) had neurogenic bladder. Stones were in the renal pelvis in 8/15 (53.3%), in the lower pole in 3/15 (20%), in the bladder in 2/15 (13.3%), and in multiple locations in 2/15 (13.3%). One patient (6.6%) had bilateral multiple kidney stones. The median stone size was 10.8 mm (range 2–30) in upper tract location and 27 mm (range 21–33) into the bladder. Eleven patients with concomitant UPJO underwent simultaneous robot-assisted pyelolithotomy and pyeloplasty in 12 kidney units. Two patients with isolated staghorn stones received robot-assisted pyelolithotomy. Robot-assisted cystolithotomy was performed in two patients with bladder stones. The median operative time was 131.8 min (range 60–240). The stone-free rate was 80% following initial surgery and 100% after secondary treatment. Clavien 2 complications (hematuria, infections) were recorded in 5/15 patients (33.3%). Three/fifteen patients (20%) with residual renal stones were successfully treated using ureterorenoscopy (Clavien 3b). RALS was a feasible, safe and effective treatment option for pediatric urolithiasis in selected cases such as large bladder stones, bilateral kidney stones, staghorn stones or concomitant anomalies such as UPJO requiring simultaneous pyeloplasty. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00240-021-01271-5. Springer Berlin Heidelberg 2021-05-16 2021 /pmc/articles/PMC8560673/ /pubmed/33993337 http://dx.doi.org/10.1007/s00240-021-01271-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Esposito, Ciro
Masieri, Lorenzo
Blanc, Thomas
Lendvay, Thomas
Escolino, Maria
Robot-assisted laparoscopic surgery for treatment of urinary tract stones in children: report of a multicenter international experience
title Robot-assisted laparoscopic surgery for treatment of urinary tract stones in children: report of a multicenter international experience
title_full Robot-assisted laparoscopic surgery for treatment of urinary tract stones in children: report of a multicenter international experience
title_fullStr Robot-assisted laparoscopic surgery for treatment of urinary tract stones in children: report of a multicenter international experience
title_full_unstemmed Robot-assisted laparoscopic surgery for treatment of urinary tract stones in children: report of a multicenter international experience
title_short Robot-assisted laparoscopic surgery for treatment of urinary tract stones in children: report of a multicenter international experience
title_sort robot-assisted laparoscopic surgery for treatment of urinary tract stones in children: report of a multicenter international experience
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8560673/
https://www.ncbi.nlm.nih.gov/pubmed/33993337
http://dx.doi.org/10.1007/s00240-021-01271-5
work_keys_str_mv AT espositociro robotassistedlaparoscopicsurgeryfortreatmentofurinarytractstonesinchildrenreportofamulticenterinternationalexperience
AT masierilorenzo robotassistedlaparoscopicsurgeryfortreatmentofurinarytractstonesinchildrenreportofamulticenterinternationalexperience
AT blancthomas robotassistedlaparoscopicsurgeryfortreatmentofurinarytractstonesinchildrenreportofamulticenterinternationalexperience
AT lendvaythomas robotassistedlaparoscopicsurgeryfortreatmentofurinarytractstonesinchildrenreportofamulticenterinternationalexperience
AT escolinomaria robotassistedlaparoscopicsurgeryfortreatmentofurinarytractstonesinchildrenreportofamulticenterinternationalexperience