{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:08:02Z","timestamp":1783523282345,"version":"3.55.0"},"reference-count":77,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003196","name":"Ministero della Salute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003196","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The robotic approach for uretero-vesical junction (UVJ) anomalies in children is still limited and debated. Both paediatric and adult urologists perform these procedures. This survey-based descriptive study aimed to evaluate different robotic approaches to the UVJ anomalies and their spread among ERUS Urologists performing robotic surgery in children, focusing on indications, technical aspects and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A survey was distributed to ERUS members to gather data on paediatric patients treated for UVJ anomalies between January 2017 and December 2022. Data were collected on demographics, diagnoses, surgical details, complications, and postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three Centres participated in the survey. A total of 153 patients were included in the study. Centre 1 participated with a series of 6 patients: (4 D-RALUR, ND-RALUR). Centre 2 participated with a series of 67 patients (2 D-RALUR, 65 ND-RALUR). Centre 3 participated with a series of 80 patients (56 D-RALUR, 16 ND-RALUR and 7 UU). The surgery success rate varied from 50% to 100%. No life-threatening events were reported. The main complications were the need for further surgery due to persistent VUR or post-operative UVJ obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robotic approach to the distal ureter in children is still not widely performed by ERUS Urologists. The most performed procedure is ND-RALUR. Robotic-assisted distal ureter surgery seems to be safe and feasible in paediatric patients, but further studies and experience are needed. This survey provides a general overview of the robotic-assisted surgical approach to distal ureter disease in the paediatric population and its different popularity and outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1729840","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T06:51:07Z","timestamp":1770706267000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Current practices in robotic surgery for distal ureter in children: results from an EAU robotic urology section (ERUS) survey"],"prefix":"10.3389","volume":"14","author":[{"given":"Girolamo","family":"Mattioli","sequence":"first","affiliation":[{"name":"DINOGMI, University of Genoa","place":["Genoa, Italy"]},{"name":"Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini","place":["Genoa, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Genova Gaia","sequence":"additional","affiliation":[{"name":"DINOGMI, University of Genoa","place":["Genoa, Italy"]},{"name":"Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini","place":["Genoa, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Carlucci","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini","place":["Genoa, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Minervini","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Florence, Careggi Hospital","place":["Florence, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Furkan","family":"Sendogan","sequence":"additional","affiliation":[{"name":"Pediatric Urology Unit, Medipol Acibadem Hospital, Clinic of Pediatric Urology, Istanbul Medipol University","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mesrur Selcuk","family":"Silay","sequence":"additional","affiliation":[{"name":"Pediatric Urology Unit, Medipol Acibadem Hospital, Clinic of Pediatric Urology, Istanbul Medipol University","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hubert","family":"John","sequence":"additional","affiliation":[{"name":"Department of Urology, Kantonsspital Winterthur","place":["Winterthur, Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venusia","family":"Fiorenza","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini","place":["Genoa, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e2018\u201300039","DOI":"10.4293\/JSLS.2018.00039","article-title":"Origins of robotic surgery: from skepticism to standard of care","volume":"22","author":"George","year":"2018","journal-title":"JSLS J Soc Laparoendosc Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1016\/j.euf.2017.08.011","article-title":"Role of robotics in children: a brave new world!","volume":"3","author":"Spinoit","year":"2017","journal-title":"Eur Urol Focus"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2581","DOI":"10.1100\/tsw.2006.399","article-title":"Pediatric robotic-assisted laparoscopy: a description of the principle procedures","volume":"6","author":"Passerotti","year":"2006","journal-title":"ScientificWorldJournal"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fped.2023.1120831","article-title":"Robotic-assisted surgery in the pediatric surgeons\u2019 world: current situation and future prospectives","volume":"11","author":"Mei","year":"2023","journal-title":"Front Pediatr"},{"key":"B5","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1016\/j.jss.2015.04.087","article-title":"Utilization and costs associated with robotic surgery in children","volume":"199","author":"Mahida","year":"2015","journal-title":"J Surg Res"},{"key":"B6","volume-title":"Edn. 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