{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T14:03:56Z","timestamp":1776089036489,"version":"3.50.1"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"\n Objective<\/jats:title>\n The aim of our study was to explore the efficacy and safety of adjustable suspension in laparoscopic pyeloplasty (ASLP) and single-line pelvis suspension in laparoscopic pyeloplasty (SLPSLP) for isolated ureteropelvic junction obstruction (UPJO) in children.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We retrospectively reviewed the clinical data of all the children with isolated UPJO who underwent laparoscopic pyeloplasty (LP) at Fujian Children's Hospital between July 2019 and July 2023. We collected data from the medical records of all the children and analysed their clinical characteristics as well as their operative and follow-up data.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n One hundred thirteen children with isolated UPJO who had complete clinical data and underwent LP at our centre were included in this study. Fifty-two children underwent ASLP and 61 children underwent SLPSLP successfully at our centre. There was no statistically significant difference in patient age, sex, body weight, proportion of patients with a history of UTI or pain, follow-up time or side of the UPJO between the ASLP group and the SLPSLP group (\n P<\/jats:italic>\n \u2009&gt;\u20090.05). However, there were significant differences in the operation duration, blood loss volume, time to DJ stent extraction, time to abdominal drainage tube extraction and length of hospitalisation between the ASLP group and the SLPSLP group (\n P<\/jats:italic>\n \u2009&lt;\u20090.05). The APD and PT before surgery were significantly different from those 6 and 12 months after surgery in both the ASLP and SLPSLP groups (\n p<\/jats:italic>\n \u2009&lt;\u20090.05). The anastomotic leakage rate was significantly different between the two groups, as no patients in the ASLP group and 6 patients in the SLPSLP group experienced anastomotic leakage (\n P<\/jats:italic>\n \u2009=\u20090.030). Anastomotic stenosis occurred in 1 patient in the ASLP group and 4 patients in the SLPSLP group, with no significant difference between the two groups (\n P<\/jats:italic>\n \u2009=\u20090.372).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Compared with SLPSLP, ASLP is advantageous in that it is minimally invasive, has a shorter operation time, and causes less bleeding. Thus, compared with conventional LP, adjustable suspension in laparoscopic pyeloplasty involving a minimally invasive fascia closure device for paediatric isolated UPJO is safe and effective.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1743710","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T13:28:05Z","timestamp":1776086885000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical value of the adjustable suspension technique in laparoscopic pyeloplasty"],"prefix":"10.3389","volume":"13","author":[{"given":"Long-Yao","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Urology, Fujian Children\u2019s Hospital (Fujian Branch of Shanghai Children\u2019s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling-Ling","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Oncology Gynecology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital","place":["Fuzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Hua","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Urology, Fujian Children\u2019s Hospital (Fujian Branch of Shanghai Children\u2019s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao-Ming","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Urology, Fujian Children\u2019s Hospital (Fujian Branch of Shanghai Children\u2019s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Urology, Fujian Children\u2019s Hospital (Fujian Branch of Shanghai Children\u2019s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Urology, Fujian Children\u2019s Hospital (Fujian Branch of Shanghai Children\u2019s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"151083","DOI":"10.1016\/j.sempedsurg.2021.151083","article-title":"Surgery of uretero-pelvic junction obstruction (UPJO)","volume":"30","author":"Szavay","year":"2021","journal-title":"Semin Pediatr Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"748","DOI":"10.1089\/end.2004.18.748","article-title":"Laparoscopic pyeloplasty: history, evolution, and future","volume":"18","author":"Munver","year":"2004","journal-title":"J Endourol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1007\/s11255-023-03799-4","article-title":"Laparoscopic assisted dismembered pyeloplasty versus open pyeloplasty in UPJO with poorly function kidney in pediatrics","volume":"56","author":"Daboos","year":"2024","journal-title":"Int Urol Nephrol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"909","DOI":"10.1046\/j.1464-410X.1996.01926.x","article-title":"Laparoscopic dismembered pyeloplasty in children: preliminary results","volume":"77","author":"Tan","year":"1996","journal-title":"Br J Urol"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11195651","article-title":"A comparative analysis of robot-assisted laparoscopic pyeloplasty in pediatric and adult patients: does age matter?","volume":"11","author":"Kang","year":"2022","journal-title":"J Clin Med"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1214","DOI":"10.1089\/lap.2021.0452","article-title":"Laparoscopic pyeloplasty for ureteropelvic junction obstruction","volume":"31","author":"Szavay","year":"2021","journal-title":"J Laparoendosc Adv Surg Tech"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.19558\/j.cnki.10-1020\/r.2023.01.013","article-title":"Development status of suspension technique in laparoscopic pyeloplasty","volume":"12","author":"Luo","year":"2023","journal-title":"J Minimally Invasive Urol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1080\/13645706.2020.1826973","article-title":"Mini-laparoscopic pyeloplasty to treat UPJO in infants","volume":"31","author":"Cui","year":"2022","journal-title":"Minim Invasive Ther Allied Technol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"e16468","DOI":"10.7717\/peerj.16468","article-title":"Minimally invasive pyeloplasty versus open pyeloplasty for ureteropelvic junction obstruction in infants: a systematic review and meta-analysis","volume":"11","author":"Wang","year":"2023","journal-title":"PeerJ"},{"key":"B10","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1111\/j.1464-410X.1949.tb10773.x","article-title":"Retrocaval ureter; a case diagnosed pre-operatively and treated successfully by a plastic operation","volume":"21","author":"Anderson","year":"1949","journal-title":"Br J Urol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1016\/j.jpurol.2022.08.025","article-title":"A systematic review and metaanalysis of open, conventional laparoscopic and robot-assisted laparoscopic techniques for re-do pyeloplasty for recurrent uretero pelvic junction obstruction in children","volume":"18","author":"Chandrasekharam","year":"2022","journal-title":"J Pediatr Urol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"666","DOI":"10.1159\/000529032","article-title":"Outcome of renal function after laparoscopic pyeloplasty in children with high-grade hydronephrosis","volume":"107","author":"Zhang","year":"2023","journal-title":"Urol Int"},{"key":"B13","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1089\/lap.2018.0635","article-title":"A new touchless technique for suturing in transperitoneal laparoscopic pyeloplasty","volume":"29","author":"Radfar","year":"2019","journal-title":"J Laparoendosc Adv Surg Tech"},{"key":"B14","doi-asserted-by":"publisher","first-page":"105","DOI":"10.4103\/jmas.JMAS_202_20","article-title":"Optimising working space for laparoscopic pyeloplasty in infants: preliminary observations with the SGPGI protocol","volume":"18","author":"Mandelia","year":"2022","journal-title":"J Minim Access Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"370","DOI":"10.3760\/cma.j.cn101785-202108015-014","article-title":"Application of hierarchical and multipoint suspension technique during laparoscopic pyeloplasty","volume":"21","author":"Yu","year":"2022","journal-title":"J Clin Ped Sur"},{"key":"B16","doi-asserted-by":"publisher","first-page":"957790","DOI":"10.3389\/fped.2022.957790","article-title":"Robot-assisted pyeloplasty and laparoscopic pyeloplasty in children: a comparison of single-port-plus-one and multiport surgery","volume":"10","author":"Chen","year":"2022","journal-title":"Front Pediatr"},{"key":"B17","doi-asserted-by":"publisher","first-page":"3000605241232968","DOI":"10.1177\/03000605241232968","article-title":"Efficacy of laparoscopic pyeloplasty for pediatric hydronephrosis caused by symptomatic versus asymptomatic endogenous ureteropelvic junction obstruction: a retrospective analysis","volume":"52","author":"Shao","year":"2024","journal-title":"J Int Med Res"},{"key":"B18","doi-asserted-by":"publisher","first-page":"171.e1","DOI":"10.1016\/j.jpurol.2015.12.013","article-title":"Outcome analysis of pediatric pyeloplasty in units with less than 20% differential renal function","volume":"12","author":"Menon","year":"2016","journal-title":"J Pediatr Urol"},{"key":"B19","first-page":"29","article-title":"Ultrasound markers in the follow up of pyeloplasty","volume":"28","author":"Fernandez Ibieta","year":"2015","journal-title":"Cir Pediatr"},{"key":"B20","doi-asserted-by":"publisher","first-page":"210","DOI":"10.5173\/ceju.2014.02.art22","article-title":"Renal function recovery after laparosocopic pyeloplasty","volume":"67","author":"Rivas","year":"2014","journal-title":"Cent European J Urol"},{"key":"B21","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1186\/s12894-023-01351-1","article-title":"Double J stent combined with pyelostomy tube in pediatric laparoscopic pyeloplasty: a 5-year clinical experience in a single center","volume":"23","author":"Chen","year":"2023","journal-title":"BMC Urol"},{"key":"B22","doi-asserted-by":"publisher","first-page":"300060520918781","DOI":"10.1177\/0300060520918781","article-title":"Use of double-J ureteric stents post-laparoscopic pyeloplasty to treat ureteropelvic junction obstruction in hydronephrosis for pediatric patients: a single-center experience","volume":"48","author":"Zhu","year":"2020","journal-title":"J Int Med Res"},{"key":"B23","doi-asserted-by":"publisher","first-page":"1716","DOI":"10.1016\/j.juro.2014.06.041","article-title":"Prompt management of anastomotic leak or acute obstruction after minimally invasive pyeloplasty with percutaneous nephrostomy preserves outcomes","volume":"192","author":"Ozayar","year":"2014","journal-title":"J Urol"},{"key":"B24","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1089\/089277903321618716","article-title":"Single-center comparison of laparoscopic pyeloplasty, acucise endopyelotomy, and open pyeloplasty","volume":"17","author":"Baldwin","year":"2003","journal-title":"J Endourol"},{"key":"B25","doi-asserted-by":"publisher","first-page":"139","DOI":"10.3760\/cma.j.issn.0253-3006.2016.02.013","article-title":"Application of non-clamping laparoscopic pyeloplasty for ureteropelvic junction obstruction","volume":"37","author":"Cao","year":"2016","journal-title":"Chin J Pediatr Surg"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1743710\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T13:28:09Z","timestamp":1776086889000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1743710\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":25,"alternative-id":["10.3389\/fsurg.2026.1743710"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1743710","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]},"article-number":"1743710"}}