Single-center results from the first 100 robotic ureteral reimplantation in children: analysis of learning curve effects

Clicks: 2
ID: 309861
2025
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #113 of 490 articles by views in Frontiers in surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 490 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
IntroductionRobot-assisted laparoscopic ureteral reimplantation (RALUR) is increasingly utilized in pediatric urology, yet outcomes vary widely and the learning curve remains under-investigated. This study aims to evaluate perioperative outcomes and learning curve progression during the first 100 pediatric RALUR procedures performed by a single surgeon.MethodsA prospective, single-center study was conducted on 100 RALUR procedures in 96 pediatric patients between May 2020 and May 2025. The cohort was divided into two groups (first 50 cases vs. second 50) to assess the impact of surgical experience on outcomes. Surgical techniques included both dismembered (D-RALUR) and non-dismembered (ND-RALUR) approaches based on anatomical indications. Clinical data, complications and outcomes were recorded.ResultsSuccess rates improved significantly from 66% in Group A to 84% in Group B (p = 0.04). Postoperative vesicoureteral reflux occurred in 28% in Group A vs. 10% in Group B (p = 0.02). Complication rates decreased from 18% to 12%, with no conversions to open surgery in either group. The need for opioid analgesia was significantly lower in Group B (4% vs. 14%, p = 0.04). Our analysis showed a decreasing trend in both failure and complication rates, reflecting progressive improvement in surgical proficiency. RALUR was safely applied to increasingly complex cases, including redo surgeries and anatomical anomalies.DiscussionRALUR is a safe and effective technique for ureteral reimplantation in children, even in complex or redo cases. Surgical outcomes improved with experience, underscoring a manageable learning curve. The implementation of standardized techniques and increased surgeon expertise contributed to enhanced success rates and reduced morbidity. These findings support early integration of robotic training in pediatric urology and the broader adoption of RALUR in centers with appropriate expertise.
Reference Key
imported_1768900473_696f47799aab6 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Fiorenza, V.
Journal Frontiers in surgery
Year 2025
DOI
10.3389/fsurg.2025.1681854
URL
https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2025.1681854/full
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.