{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T14:42:59Z","timestamp":1792852979116,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the safety, feasibility, and surgical outcomes of robot\u2010assisted pyeloplasty (RAP) in elderly compared with non\u2010elderly patients for ureteropelvic junction obstruction (UPJO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective study included 83 consecutive patients undergoing RAP between January 2017 and August 2025. Patients were stratified into elderly (\u2265\u200965\u2009years,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200914) and non\u2010elderly (&lt;\u200965\u2009years,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200969) groups. We compared patient backgrounds, perioperative outcomes (operative\/anastomosis time, blood loss, and hospital stay), and postoperative complications graded by the Clavien\u2013Dindo classification. Success was defined as symptom resolution and\/or improved diuretic renogram flow 6\u201312\u2009months postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean operative time (214\u2009\u00b1\u200919 vs. 207\u2009\u00b1\u20098\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.75), anastomosis time (50\u2009\u00b1\u20094 vs. 43\u2009\u00b1\u20092\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.11), and estimated blood loss (13 vs. 20\u2009g,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.33) showed no significant differences between the elderly and non\u2010elderly groups. The total complication rate did not differ significantly between the two groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.22). Surgical success rates were 93.8% in the elderly and 97.1% in the non\u2010elderly group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.53) over a median 18\u2010month follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RAP is a safe and effective procedure for appropriately selected elderly patients with ureteropelvic junction obstruction, demonstrating perioperative outcomes and surgical success rates largely comparable with those in younger patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70479","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:22:38Z","timestamp":1777378958000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Robot\u2010Assisted Pyeloplasty in Elderly Patients: A Comprehensive Retrospective Analysis of Safety and Surgical Outcomes"],"prefix":"10.1111","volume":"33","author":[{"given":"Kohei","family":"Mori","sequence":"first","affiliation":[{"name":"Department of Urology Kitasato University School of Medicine  Sagamihara Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izuru","family":"Shiba","sequence":"additional","affiliation":[{"name":"Department of Urology Kitasato University School of Medicine  Sagamihara Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Shiono","sequence":"additional","affiliation":[{"name":"Department of Urology Kitasato University School of Medicine  Sagamihara Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuhei","family":"Hirano","sequence":"additional","affiliation":[{"name":"Department of Urology Kitasato University School of Medicine  Sagamihara Kanagawa 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of Health Labour and Welfare (Japan) \u201dThe 10th NDB open data [Internet] 2024 https:\/\/www.mhlw.go.jp\/stf\/seisakunitsuite\/bunya\/0000177221_00016.html."},{"key":"e_1_2_11_17_1","first-page":"323","article-title":"The Initial Operative Experience of Robot\u2010Assisted Pyeloplasty and Comparison With Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction","volume":"34","author":"Mori K.","year":"2021","journal-title":"Japanese Journal of Endourology"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15551"}],"container-title":["International Journal of 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