{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T05:32:49Z","timestamp":1786512769893,"version":"build-2736575974"},"reference-count":36,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Laparoscopic pyeloplasty (LP) for treatment of ureteropelvic junction obstruction (UPJO) in children offers advantages over open surgical correction, including reduced hospitalization times and lower perioperative morbidity, but presents a long learning curve. Robotic-assisted laparoscopic pyeloplasty (RALP) offers the same advantages with reduced technical operative complexity but entails higher costs. No clear superiority of laparoscopy versus robotic surgery has been established.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We conducted a retrospective comparative cohort study including pediatric patients who underwent minimally invasive pyeloplasty at two tertiary-level centers, those at Evelina Children\u2019s Hospital in London (UK) receiving LP and those at Policlinico San Matteo in Pavia (Italy) undergoing RALP. Data concerning preoperative variables and obstruction severity; intraoperative variables and surgical techniques; degree of postoperative obstruction reduction, complications, and redo surgeries were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 75 patients were included, with 47 undergoing LP and 28 receiving RALP, with similar preoperative characteristics across groups. The Anderson-Hynes surgical technique was employed in 71\/75 cases (94.7%) with universal stent use. No conversions were recorded. Mean operatives times and postoperative length of stay were longer for RALP. Complications took place in 7\/28 (25.0%) of RALP patients and 6\/47 (12.7%) of LP patients. Redo surgery was needed for 1\/28 (3.6%) RALP and 3\/47 (6.4%) LP patients. These differences were not statistically significant. Symptoms resolution and postoperative pelvic diameter decrease were comparable between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>RALP and LP appeared comparable in terms of safety and efficacy. Adoption of one technique over the other may be justified by the surgeon\u2019s preference and the availability of a robot.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429251396693","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T08:51:52Z","timestamp":1763455912000},"page":"65-72","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Versus Laparoscopic Technique for Ureteropelvic Junction Obstruction Treatment in Children: A Comparative Study"],"prefix":"10.1177","volume":"36","author":[{"given":"Carlo Maria","family":"Ferlini","sequence":"first","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Fusi","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michela","family":"Marinaro","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Gazzaneo","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simonetta","family":"Mencherini","sequence":"additional","affiliation":[{"name":"Anesthesiology and Intensive Care Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Raffaele","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piero","family":"Romano","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Avolio","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Garriboli","sequence":"additional","affiliation":[{"name":"Department of Paediatric Urology, Evelina London Children\u2019s Hospital and King\u2019s College London, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna","family":"Riccipetitoni","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy."},{"name":"Department of Clinical, Surgical, Diagnostics and Pediatric Sciences, University of Pavia, Pavia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirko","family":"Bertozzi","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy."},{"name":"Department of Clinical, Surgical, Diagnostics and Pediatric Sciences, University of Pavia, Pavia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-011-1939-1"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2147\/RRU.S324786"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eursup.2012.01.004"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14207"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)64761-X"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2019.00352"},{"issue":"1","key":"e_1_3_3_8_2","first-page":"1","article-title":"Pathog\u00e9nie et traitement de l\u2019hydron\u00e9phrose [Pathogenesis and treatment of hydronephrosis]","volume":"20","author":"Hellstrom J","year":"1951","unstructured":"Hellstrom J, , Giertz G, , Lindblom K. 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