{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T11:43:50Z","timestamp":1784288630818,"version":"3.55.0"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007195","name":"Universit\u00e0 degli Studi di Napoli Federico II","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007195","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report a multicenter experience with minimally invasive surgery (MIS) for pediatric urachal anomalies and to compare laparoscopic versus robotic-assisted approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was performed of all patients with urachal remnants treated with MIS between January 2019 and January 2025. Demographic, perioperative, and outcome data were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-three patients (13 males) with a median age of 5.9 years (range 6 months\u201314 years) underwent surgery for symptomatic urachal anomalies. Fifteen patients (65.2%) were treated laparoscopically and eight (34.8%) robotically. Complete excision was achieved in all cases. Median operative time was 45\u00a0min (range 33\u201373). A bladder catheter was maintained for 24\u00a0h postoperatively, and all patients were discharged within 48\u201372\u00a0h. Histopathology confirmed urachal remnants without evidence of malignancy. No intraoperative complications occurred. One minor postoperative complication (Clavien\u2013Dindo I) was reported. Median follow-up was 2 years (range 5 months\u20136 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MIS represents the gold standard for the treatment of urachal remnants. Both laparoscopy and robotic-assisted surgery are safe and effective. The robotic approach may offer ergonomic and technical advantages. Indocyanine green (ICG) fluorescence appears to facilitate lesion identification and guide dissection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00383-026-06434-2","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T09:19:27Z","timestamp":1777281567000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic vs robotic-assisted surgery for treating urachal anomalies in pediatric patients"],"prefix":"10.1007","volume":"42","author":[{"given":"Ciro","family":"Esposito","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulvia","family":"Del Conte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Alberti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Di Mento","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Castagnetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Tedesco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Guglielmini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Boroni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Bosisio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Carraturo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tristan","family":"Till","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Coppola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgia","family":"Esposito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Escolino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"issue":"1","key":"6434_CR1","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1186\/s12887-023-03962-x","volume":"23","author":"K Kamel","year":"2023","unstructured":"Kamel K, Nasr H, Tawfik S, Azzam A, Elsaid M, Qinawy M, Kamal A, Taher H (2023) Complicated urachal cyst in two pediatric patients: a case report. 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Ethical approval was obtained from the institutional review board (Approval No. 35534\/25).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants\u2019 parents or legal guardians included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Informed consent for publication was obtained from the parents or legal guardians of all participants.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"206"}}