Has the robot caught up? National trends in utilization, perioperative outcomes, and cost for open, laparoscopic, and robotic pediatric pyeloplasty in the United States from 2003 to 2015
Briony Varda,Ye Wang,Benjamin I. Chung,Richard S. Lee,Michael P. Kurtz,Caleb P. Nelson,Steven L. Chang +6 more
TLDR
Despite an overall decline in pyeloplasties, RP utilization continues to increase, and there has been little change in cost over time, and RP remains more expensive because of equipment and OR costs.About:
This article is published in Journal of Pediatric Urology.The article was published on 2018-02-22 and is currently open access. It has received 75 citations till now. The article focuses on the topics: Pyeloplasty.read more
Citations
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Robot-assisted vs laparoscopic pyeloplasty in children with uretero-pelvic junction obstruction (UPJO): technical considerations and results.
Ciro Esposito,Lorenzo Masieri,Marco Castagnetti,Simone Sforza,Alessandra Farina,Mariapina Cerulo,Chiara Cini,Fulvia Del Conte,Maria Escolino +8 more
TL;DR: The study experience suggested that RALP and LP give excellent results in children with UPJO, and robotic surgery should be indicated in patients older than 18-24 months with a body weight > 10-15 Kgs.
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Managing Ureteropelvic Junction Obstruction in the Young Infant
Niccolo Passoni,Craig A. Peters +1 more
TL;DR: This review will address the clinical evaluation of UPJO in the very young infant and approaches to determining in whom surgical intervention may be preferable, as well as surgical considerations for the small infant.
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Robot-assisted laparoscopic pyeloplasty in infants and children: is it superior to conventional laparoscopy?
TL;DR: The available literature showed that the robotic approach to the UPJO allowed for decreased operative times, shorter length of hospital stay, lower complication rates, with success rates comparable to LP, and Conflicting results persist regarding robotic platform and equipment costs.
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Robot-assisted laparoscopic pyeloplasty in children: a systematic review.
Lorenzo Masieri,Simone Sforza,Antonio Andrea Grosso,Francesca Valastro,Riccardo Tellini,Chiara Cini,Luca Landi,Maria Taverna,Antonio Elia,Alberto Mantovani,Andrea Minervini,Marco Carini +11 more
TL;DR: RALP offers excellent outcomes in the pediatric population, however, there is still a strong need for higher quality evidence in the form of prospective observational studies and clinical trials.
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Robotic surgery in pediatric urology: Current status.
TL;DR: Based on the initial experience, RALS is technically feasible for pediatric patients and may be achieved with comparable surgical outcomes, and is also associated with reduced morbidity compared to open surgery to conventional laparoscopic surgery.
References
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Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation
Chris Feudtner,Chris Feudtner,James A. Feinstein,James A. Feinstein,Wenjun Zhong,Matthew Hall,Dingwei Dai +6 more
TL;DR: The updated CCC v2 system consists of diagnostic and procedural codes that incorporate a new neonatal CCC category as well as domains of complexity arising from technology dependence or organ transplantation and provides a necessary update to accommodate widespread implementation of ICD-10.
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New Technology and Health Care Costs — The Case of Robot-Assisted Surgery
Gabriel I. Barbash,Sherry Glied +1 more
TL;DR: These patterns are examined as they apply to the case of robot-assisted surgery, which allows a surgeon at a console to operate remote-controlled robotic arms, which may facilitate the performance of laparoscopic procedures.
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Comparison of outcomes and cost for endometrial cancer staging via traditional laparotomy, standard laparoscopy and robotic techniques
TL;DR: Robotic hysterectomy provides comparable node retrieval to laparotomy and laparoscopy procedures in the case of the experienced laparoscopic surgeon and provides the patient with a more expeditious return to normal activity with reduced post-operative morbidity.
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Pediatric Robot Assisted Laparoscopic Dismembered Pyeloplasty: Comparison With a Cohort of Open Surgery
TL;DR: RALP showed advantages of decreased hospital stay, decreased narcotic use and operative times approaching those of open surgery, and as robotic technology improves, this method of repair may become the minimally invasive treatment of choice.
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A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice.
TL;DR: A higher likelihood of exploratory laparotomy for hysterectomy in the prerobotic cohort versus the robotic cohort and aHigher likelihood of intraoperative conversion to laparotomies with the preRobotic cohort than with the robotic cohorts existed.