{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T13:23:48Z","timestamp":1788528228273,"version":"build-2803163510"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Surgeons performing ureteric reimplantation (UR) often face physical challenges and discomfort during surgery due to prolonged periods of standing, awkward body positions, and repetitive movements. We aimed to compare surgeon-reported health outcomes between open versus robotic UR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This single-surgeon prospective comparative study compared surgeon-reported physical discomfort for two surgical approaches, open (Group A) and robotic (Group B) UR, while accounting for the potential influence of operating room time. The outcomes were measured using multiple Likert scale items related to \u201cneck stress,\u201d \u201cfatigue,\u201d and \u201cshoulder pain,\u201d with higher scores indicating worse symptoms, and these were assessed using a standardized questionnaire administered immediately postsurgery. We conducted Ordinary Least Squares regression analyses using the Python Stats models library to investigate the relationships between the independent variables (surgical technique, operative time, and length of stay) and the dependent variables (neck stress, fatigue, and shoulder pain).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Group A included 30 cases, whereas Group B included 21 cases. Overall, the results indicated that the surgeon reported significantly worse outcomes in terms of neck stress, fatigue, and shoulder pain for Group A compared to Group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001 in all three models), even after applying the Bonferroni correction. Operative time was a significant contributing factor to both fatigue and shoulder pain (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.012).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgeons performing robotic UR experience significantly less physical discomfort, fatigue, and improved overall surgical experiences compared to those performing open procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_95_25","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T07:00:10Z","timestamp":1761980410000},"page":"767-773","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Assessing Surgeon-reported Physical Discomfort in Open Versus Robotic Ureteric Reimplantation: A Comparative Analysis"],"prefix":"10.4103","volume":"30","author":[{"given":"Mohd S.","family":"Ansari","sequence":"first","affiliation":[{"name":"Division of Pediatric Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anwesa","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj Kumar","family":"Thakur","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Ranjan","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunj B.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aamir Hussain","family":"Usmani","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Mittal","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyank","family":"Yadav","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,1]]},"reference":[{"key":"R1-20260904","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1007\/s00345-018-2194-x","article-title":"Robot-assisted laparoscopic versus open ureteral reimplantation for pediatric vesicoureteral reflux:A systematic review and meta-analysis","volume":"36","author":"Deng","year":"2018","journal-title":"World J Urol"},{"key":"R2-20260904","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/S0272-6386(12)80490-2","article-title":"Vesicoureteric reflux and renal injury","volume":"17","author":"Arant","year":"1991","journal-title":"Am J Kidney Dis"},{"key":"R3-20260904","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/S0022-5347(17)65219-4","article-title":"Recurrent urosepsis in 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Urol"},{"key":"R13-20260904","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1111\/bju.12813","article-title":"Robot-assisted laparoscopic ureteric reimplantation:Extravesical technique","volume":"114","author":"Dangle","year":"2014","journal-title":"BJU Int"},{"key":"R14-20260904","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/j.eururo.2012.05.059","article-title":"EAU guidelines on vesicoureteral reflux in children","volume":"62","author":"Tekg\u00fcl","year":"2012","journal-title":"Eur Urol"},{"key":"R15-20260904","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1016\/j.juro.2010.05.065","article-title":"Summary of the AUA guideline on management of primary vesicoureteral reflux in children","volume":"184","author":"Peters","year":"2010","journal-title":"J Urol"},{"key":"R16-20260904","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.urology.2016.11.034","article-title":"Bilateral transvesicoscopic cross-trigonal ureteric reimplantation in children:Surgical subtleties and a prospective summary","volume":"101","author":"Ansari","year":"2017","journal-title":"Urology"},{"key":"R17-20260904","first-page":"277","article-title":"Assessment of stresses in the cervical spine caused by posture and position of the head","volume":"25","author":"Hansraj","year":"2014","journal-title":"Surg Technol Int"},{"key":"R18-20260904","doi-asserted-by":"crossref","first-page":"408.e1","DOI":"10.1016\/j.jpurol.2016.06.016","article-title":"Robotic versus open pediatric ureteral reimplantation:Costs and complications from a nationwide sample","volume":"12","author":"Kurtz","year":"2016","journal-title":"J Pediatr Urol"}],"container-title":["Journal of Indian Association of Pediatric 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