{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:23:31Z","timestamp":1792787011007,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,12,2]],"date-time":"2013-12-02T00:00:00Z","timestamp":1385942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Internal, Departmental"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            To compare perioperative outcomes between open ileocystoplasty and robot\u2010assisted laparoscopic ileocystoplasty (\n                            <jats:styled-content style=\"fixed-case\">RALI<\/jats:styled-content>\n                            ) in a porcine model, as objective data comparing outcomes between these two approaches in children with neurogenic bladder are lacking.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>We specifically examined differences in postoperative peritoneal adhesion formation between the groups.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            In all, 20 pigs were assigned to an open ileocystoplasty or\n                            <jats:styled-content style=\"fixed-case\">RALI<\/jats:styled-content>\n                            study arm. All the pigs underwent an initial urodynamic study (\n                            <jats:styled-content style=\"fixed-case\">UDS<\/jats:styled-content>\n                            ).\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            In the\n                            <jats:styled-content style=\"fixed-case\">RALI<\/jats:styled-content>\n                            arm, reconstructive steps were performed intracorporeally using a standard da Vinci\n                            <jats:sup>\u00ae<\/jats:sup>\n                            system. Postoperatively, variables including first stool, weight gain, and complications were recorded.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            After 42 days, the pigs underwent a final\n                            <jats:styled-content style=\"fixed-case\">UDS<\/jats:styled-content>\n                            followed by adhesion assessment.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Intraperitoneal adhesions were quantified by a third\u2010party \u2018blinded\u2019 surgeon according to previously described objective scoring systems.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            Preoperative variables including\n                            <jats:styled-content style=\"fixed-case\">UDS<\/jats:styled-content>\n                            were similar in both groups.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            Overall operating time was significantly shorter for open ileocystoplasty than for\n                            <jats:styled-content style=\"fixed-case\">RALI<\/jats:styled-content>\n                            (149 vs 287\u2009min,\n                            <jats:italic>P<\/jats:italic>\n                            &lt; 0.001, respectively). Postoperatively, all variables including time to first stool, weight gain, and urodynamic parameters were similar amongst the groups.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            Pigs in the open arm developed significantly more adhesions (\n                            <jats:italic>P<\/jats:italic>\n                            = 0.02) and adhesions with a higher complexity (\n                            <jats:italic>P<\/jats:italic>\n                            = 0.04).\n                          <\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            In this porcine model,\n                            <jats:styled-content style=\"fixed-case\">RALI<\/jats:styled-content>\n                            achieved similar functional outcomes as the open approach, but required longer procedural times.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            The number and complexity of surgical adhesions among the groups favoured the\n                            <jats:styled-content style=\"fixed-case\">RALI<\/jats:styled-content>\n                            cohort. This may be of clinical significance in the paediatric spina bifida population, who generally undergo multiple surgical procedures in their lifetime, with increased risk for development of adhesions and subsequent intestinal obstruction.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.12284","type":"journal-article","created":{"date-parts":[[2013,6,13]],"date-time":"2013-06-13T07:52:39Z","timestamp":1371109959000},"page":"468-475","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Does robot\u2010assisted laparoscopic ileocystoplasty (\n                    <scp>RALI<\/scp>\n                    ) reduce peritoneal adhesions compared with open surgery?"],"prefix":"10.1111","volume":"113","author":[{"given":"Aria A.","family":"Razmaria","sequence":"first","affiliation":[{"name":"Pediatric Urology Section of Urology Department of Surgery The University of Chicago Medicine and Biological Sciences Division Comer Children's Hospital  Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo E.","family":"Marchetti","sequence":"additional","affiliation":[{"name":"Pediatric Urology Section of Urology Department of Surgery The University of Chicago Medicine and Biological Sciences Division Comer Children's Hospital  Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandip M.","family":"Prasad","sequence":"additional","affiliation":[{"name":"Pediatric Urology Section of Urology Department of Surgery The University of Chicago Medicine and Biological Sciences Division Comer Children's Hospital  Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arieh L.","family":"Shalhav","sequence":"additional","affiliation":[{"name":"Pediatric Urology Section of Urology Department of Surgery The University of Chicago Medicine and Biological Sciences Division Comer Children's Hospital  Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohan S.","family":"Gundeti","sequence":"additional","affiliation":[{"name":"Pediatric Urology Section of Urology Department of Surgery The University of Chicago Medicine and Biological Sciences Division Comer Children's Hospital  Chicago IL 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