{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T15:14:36Z","timestamp":1791472476023,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,3,7]],"date-time":"2021-03-07T00:00:00Z","timestamp":1615075200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective(s)<\/jats:title>\n                    <jats:p>The incidence of urinary tract stone disease is steadily increasing in both adult and paediatric populations. This condition develops due to different factors: dietary or metabolic alterations, infection, and congenital anatomic malformations. Standard indications and treatments for children are analogous to the ones indicated for adults. Extracorporeal shock wave lithotripsy, ureterorenoscopy and percutaneous nephrolithotomy (PCNL) should be preferred to more invasive techniques. Moreover, the introduction of laparoscopic and robot\u2010assisted laparoscopic approaches have improved surgical outcomes, lowering the bleeding risk with higher stone\u2010free rates, even in complicated cases. Despite these well\u2010known improvements, there are few reports regarding laparoscopic robot\u2010assisted management for urinary tract stone disease in paediatric patients under the age of 10, especially with concomitant treatment of ureteropelvic junction obstruction and multiple calyceal stones.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and Method(s)<\/jats:title>\n                    <jats:p>A 4\u2010year\u2010old child was referred for recurrent right abdominal flank pain, macroscopic haematuria and a previous history of urinary tract infections. A computed tomography of the abdomen showed right ureteropelvic junction obstruction associated with multiple unilateral stones located in the renal pelvis and in the interpolar renal calyces. Due to its complexity, we held a multidisciplinary meeting with paediatric surgeons and nephrologists to determine optimal treatment. As a result, a combined robot\u2010assisted laparoscopic pyeloplasty (LP) and renal calculi holmium laser lithotripsy using a digital flexible ureteroscope through an abdominal robotic trocar was performed. No post\u2010surgical complications were recorded, and the patient was discharged within 48\u00a0h following surgery. At subsequent regular follow\u2010up examinations over a period of 24\u00a0months, no signs of recurrence were detected for both ureteropelvic junction obstruction and stone disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result(s)<\/jats:title>\n                    <jats:p>Robot\u2010assisted LP with concomitant laser lithotripsy is a reasonable treatment option for designated young paediatric patients with challenging ureteropelvic junction obstruction complicated by urolithiasis, especially in cases where stones are not amenable with standard procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.2246","type":"journal-article","created":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T13:10:25Z","timestamp":1614172225000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Combined treatment of ureteropelvic junction obstruction and renal calculi with robot\u2010assisted laparoscopic pyeloplasty and laser lithotripsy in children: Case report and non\u2010systematic review of the literature"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3015-7271","authenticated-orcid":false,"given":"Simone","family":"Scarcella","sequence":"first","affiliation":[{"name":"Department of Urology Polytechnic University of Marche Region \u201cOspedali Riuniti\u201d Hospital  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Tiroli","sequence":"additional","affiliation":[{"name":"Department of Urology Polytechnic University of Marche Region \u201cOspedali Riuniti\u201d Hospital  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Torino","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit Polytechnic University of Marche Region \u201cOspedali Riuniti\u201d Hospital and \u201cG. Salesi\u201d Children's Hospital  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Mariscoli","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit Polytechnic University of Marche Region \u201cOspedali Riuniti\u201d Hospital and \u201cG. Salesi\u201d Children's Hospital  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Cobellis","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit Polytechnic University of Marche Region \u201cOspedali Riuniti\u201d Hospital and \u201cG. Salesi\u201d Children's Hospital  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea Benedetto","family":"Galosi","sequence":"additional","affiliation":[{"name":"Department of Urology Polytechnic University of Marche Region \u201cOspedali Riuniti\u201d Hospital  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-4096.2001.woodward.2578.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.02.002"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65802-6"},{"key":"e_1_2_7_5_1","first-page":"7376","article-title":"Evaluation of role of retroperitoneoscopic pyelolithotomy and its comparison with percutaneous nephrolithotripsy","volume":"35","author":"Goel A","year":"2003","journal-title":"Int Urol 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