{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T14:28:55Z","timestamp":1785594535756,"version":"3.56.0"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"03","funder":[{"name":"Suzhou Key clinical disease diagnosis and treatment technology project","award":["LCZX201718"],"award-info":[{"award-number":["LCZX201718"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2003We performed a systematic review and meta-analysis to compare the safety and efficacy of minimally invasive surgery (MIS) versus open ureteral reimplantation (OUR) in children.<\/jats:p><jats:p>\n          Methods\u2003Literature searches were conducted to identify studies that compared MIS (laparoscopic ureteral reimplantation or robot-assisted laparoscopic ureteral replantation) and OUR in children. Parameters such as operative time, blood loss, length of hospital stay, success rate, postoperative urinary tract infection (UTI), urinary retention, postoperative hematuria, wound infection, and overall postoperative complications were pooled and compared by meta-analysis.<\/jats:p><jats:p>\n          Results\u2003Among the 7,882 pediatric participants in the 14 studies, 852 received MIS, and 7,030 received OUR. When compared with the OUR, the MIS approach resulted in shorter hospital stays (I\n          2\u2009=\u200999%, weighted mean difference [WMD] \u20132.82, 95% confidence interval [CI] \u20134.22 to \u20131.41; p\u2009&lt;\u20090.001), less blood loss (I\n          2\u2009=\u2009100%, WMD \u201312.65, 95% CI \u201324.82 to \u20130.48; p\u2009=\u20090.04), and less wound infection (I\n          2\u2009=\u20090%, odds ratio 0.23, 95% CI 0.06\u20130.78; p\u2009=\u20090.02). However, no significant difference was found in operative time and secondary outcomes such as postoperative UTI, urinary retention, postoperative hematuria, and overall postoperative complications.<\/jats:p><jats:p>\n          Conclusion\u2003MIS is a safe, feasible, and effective surgical procedure in children when compared with OUR. Compared with OUR, MIS has a shorter hospital stay, less blood loss, and less wound infection. Furthermore, MIS is equivalent to OUR in terms of success rate and secondary outcomes such as postoperative UTI, urinary retention, postoperative hematuria, and overall postoperative complications. We conclude that MIS should be considered an acceptable option for pediatric ureteral reimplantation.<\/jats:p>","DOI":"10.1055\/s-0043-1764321","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T00:01:20Z","timestamp":1678233680000},"page":"245-252","source":"Crossref","is-referenced-by-count":10,"title":["Minimally Invasive versus Open Ureteral Reimplantation in Children: A Systematic Review and Meta-Analysis"],"prefix":"10.1055","volume":"34","author":[{"given":"Shaoguang","family":"Feng","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Hangzhou Children's Hospital, Hangzhou, China"},{"name":"Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhechen","family":"Yu","sequence":"first","affiliation":[{"name":"Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yicheng","family":"Yang","sequence":"first","affiliation":[{"name":"Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunli","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Urology, Children's Hospital of Soochow University, Suzhou, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinjian","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine (PCCM), Anji County People's Hospital, Huzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,3,7]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/S0140-6736(14)60383-4","article-title":"Vesicoureteric reflux in 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