{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:12:37Z","timestamp":1761747157994,"version":"build-2065373602"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,4,16]],"date-time":"2019-04-16T00:00:00Z","timestamp":1555372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe postoperative complications after robot\u2010assisted laparoscopic urological surgery in children, and identify potential predictors of these complications by analysing the outcomes of a large\u2010volume single\u2010surgeon experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>We reviewed our institutional database to identify all robot\u2010assisted laparoscopy (RAL) cases performed between December 2007 and December 2017. Patients were grouped into three cohorts based on the anatomical location of the procedure: upper urinary tract (kidney and renal pelvis); lower urinary tract (ureter); and lower urinary tract reconstruction with bowel (bladder reconstruction). A descriptive analysis of baseline characteristics, intra\u2010operative variables and postoperative outcomes was carried out. All complications were graded using the Clavien\u2013Dindo scale, and grouped based on type and time of occurrence (&lt;30, 30\u201390, &gt;90\u00a0days). Multivariable logistic regression analysis was performed to identify predictors of high\u2010grade complications (Clavien\u2013Dindo grade \u2265 III). We also measured complication rates based on year of surgery and surgical caseload.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our database included a total of 326 patients, of whom 57% (\n                      <jats:italic>n<\/jats:italic>\n                      = 186) underwent upper urinary tract procedures, 30% (\n                      <jats:italic>n<\/jats:italic>\n                      = 97) ureteric procedures, and 13% bladder reconstruction. The median follow\u2010up for each procedure was 13, 11 and 57\u00a0months, respectively. Of the total, 10 cases were converted to an open approach and excluded from further analysis. The most common types of complication in all groups were infections (urinary tract infections) and urinary complications (urine leaks and urolithiasis). Bladder reconstructive procedures, which require the use of bowel, presented the highest rate of high\u2010grade complications (32%). Length of hospital stay (LOS; odds ratio [OR] 1.33, confidence interval [CI] 1.16\u20131.53), estimated blood loss (EBL) in surgery (OR 1.01, CI 1.002\u20131.019) and operating time (OR 1.004, CI 1.002\u20131.006) were all associated\u00a0with increased odds of high\u2010grade complications on multivariate analysis (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this single\u2010surgeon series, we have described the most commonly encountered complications after RAL in paediatric urology, finding rates similar to the complication rates reported in the current literature on other surgical approaches. In addition, LOS, operating time and EBL, which are probable surrogates of case complexity, were associated with increased odds of high\u2010grade complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14757","type":"journal-article","created":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T11:25:31Z","timestamp":1554117931000},"page":"649-655","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Lessons learned from a single\u2010surgeon series of paediatric robot\u2010assisted laparoscopic urological procedures: predictors of high\u2010grade postoperative complications"],"prefix":"10.1111","volume":"124","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2193-9928","authenticated-orcid":false,"given":"Nimrod S.","family":"Barashi","sequence":"first","affiliation":[{"name":"Department of Surgery Section\u00a0of Urology The University of Chicago Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciro","family":"Andolfi","sequence":"additional","affiliation":[{"name":"Department of Surgery Section\u00a0of Urology The University of Chicago Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Wallace","sequence":"additional","affiliation":[{"name":"Pritzker School of Medicine The University of Chicago Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria V.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Surgery Section\u00a0of Urology The University of Chicago Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Schadler","sequence":"additional","affiliation":[{"name":"Pritzker School of Medicine The University of Chicago Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohan S.","family":"Gundeti","sequence":"additional","affiliation":[{"name":"Department of Surgery Section\u00a0of Urology The University of Chicago Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.02.065"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.01.025"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.10.040"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.12.072"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0175026"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2014.11.025"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2018.03.004"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2015.08.015"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2729-y"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2016.0390"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1052-8"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.05.046"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2016.06.016"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2016.03.014"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.11.010"},{"key":"e_1_2_7_18_1","doi-asserted-by":"crossref","unstructured":"Varda BK Wang Y Chung BI Lee RS Kurtz MP Nelson CP et al.Has the robot caught up? 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