Introduction of Pediatric Robot-Assisted Pyeloplasty in A Low-Volume Centre.
cost analysis
minimally invasive
pediatric pyeloplasty
robot-assisted
surgical training
Journal
Clinics and practice
ISSN: 2039-7275
Titre abrégé: Clin Pract
Pays: Switzerland
ID NLM: 101563282
Informations de publication
Date de publication:
01 Mar 2021
01 Mar 2021
Historique:
received:
07
12
2020
revised:
24
01
2021
accepted:
08
02
2021
entrez:
3
4
2021
pubmed:
4
4
2021
medline:
4
4
2021
Statut:
epublish
Résumé
(1) Background: This study investigated the introduction of pediatric robot-assisted pyeloplasty in a low-volume centre with reference to open pyeloplasty with regards to operative times, length of stay (LOS) and outcomes and cost analysis. (2) Methods: Data from 10 consecutive robot-assisted pyeloplasties was compared retrospectively to an age and weight matched cohort of open pyeloplasties operated on during two previous years. Operative times were analyzed in conjunction with LOS, outcomes and cost-analysis from patient records. (3) Results: Operative times remain longer in robot-assisted pyeloplasties (168 (IQR 68) vs. 141 (IQR 51) min), but patients are discharged from the hospital earlier and may return to daily activities earlier. In our hospital, the difference in LOS levels to some degree the cost difference between operations. (4) Conclusions: Robot-assisted pyeloplasty can be safely and economically introduced and maintained in a low-volume centre.
Identifiants
pubmed: 33804292
pii: clinpract11010020
doi: 10.3390/clinpract11010020
pmc: PMC7931116
doi:
Types de publication
Journal Article
Langues
eng
Pagination
143-150Références
J Pediatr Urol. 2016 Jun;12(3):171.e1-7
pubmed: 26951922
J Endourol. 2012 Aug;26(8):1044-8
pubmed: 22494052
Scand J Urol. 2017 Aug;51(4):335-338
pubmed: 28398104
J Pediatr Urol. 2021 Feb;17(1):102.e1-102.e7
pubmed: 33218882
Cent European J Urol. 2015;68(2):245-51
pubmed: 26251754
Eur J Pediatr Surg. 2008 Jun;18(3):156-9
pubmed: 18484518
Urology. 2001 Mar;57(3):547-50
pubmed: 11248637
Ann Surg. 2004 Aug;240(2):205-13
pubmed: 15273542
J Pediatr Surg. 2017 Apr;52(4):578-581
pubmed: 27914584
J Pediatr Urol. 2012 Feb;8(1):25-8
pubmed: 21296620
Eur J Pediatr Surg. 2002 Oct;12(5):304-7
pubmed: 12469255
J Pediatr Urol. 2018 Dec;14(6):570.e1-570.e10
pubmed: 30177385
J Urol. 2013 Oct;190(4 Suppl):1622-6
pubmed: 23410982
J Urol. 1988 Nov;140(5 Pt 2):1227-30
pubmed: 3054163
J Urol. 2011 Jun;185(6 Suppl):2517-22
pubmed: 21555027
J Pediatr Urol. 2019 Oct;15(5):553.e1-553.e8
pubmed: 31277930
Pediatr Surg Int. 2016 Jun;32(6):599-607
pubmed: 26833312
Curr Opin Urol. 2019 Jan;29(1):1-9
pubmed: 30394945
J Laparoendosc Adv Surg Tech A. 2012 Mar;22(2):176-9
pubmed: 22216968
Eur Urol. 2009 Nov;56(5):848-57
pubmed: 19359084
BJU Int. 2020 Feb;125(2):234-243
pubmed: 31674131
BJU Int. 2008 Apr;101(8):1024-8
pubmed: 18070175