Robot-Assisted Pyeloplasty in Young Children

Destinval Christelle9 enrolled

Overview

The goal of this retrospective study is to analyse the outcomes of Robot-Assisted Pyeloplasty in participants younger than 5 years old: * indication criteria * clinical symptoms * operating time * length of stay * complications * follow-up

Outcomes of Robot-Assisted Pyeloplasty in participants younger than 5 years old and comparison with the outcomes in the literature.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Ureterohydronephrosis Ureter Obstruction Child, Only

Interventions

Robot-Assisted PyeloplastyOTHER

Pyeloplasty in Children using robotic surgery

Eligibility

Sex: ALLMin age: 0 YearsMax age: 5 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients younger than 5 years old, who underwent primary robotic pyeloplasty, was launched between January 2014 and December 2022 Exclusion Criteria: * Patients older than 5 years old, who underwent primary robotic pyeloplasty, was launched between January 2014 and December 2022

Locations (1)

University Hospital, Clermont-Ferrand

Clermont-Ferrand, Auvergne, France

Outcomes

Primary Outcomes

Presence of ureterohydronephrosis

Ureterohydronephrosis represents the augmentation of the diameter of the ureter (more than 10 millimeters) and the renal pelvis (more than 30 millimeters), which can be measured on imaging such as abdominal ultrasound, CT scan, or MRI. Whenever the ureter and the renal pelvis meet these criteria on preoperative imaging, the patient will be labeled as having ureterohydronephrosis.

Time frame: Before surgery

Presence of abdominal pain

Flank pain (pain in the upper abdomen or back)

Time frame: Before surgery

Presence of urinary calculi

Urinary calculi can be diagnosed on an abdominal X-Ray, an abdominal Ultrasound or an abdominal CT scan

Time frame: Before surgery

Presence of abnormal nuclear renal scans

Nuclear renal scans are abnormal when there is a difference of filtration of more than 40% between the kidneys

Time frame: Before surgery

Presence of urinary tract infection

Urinary tract infection associated with ureteropelvic junction

Time frame: Before surgery

Secondary Outcomes

Postoperative pain

The numeric rating scale (NRS) is a pain screening tool commonly used to assess pain severity at that moment in time using a 0-10 scale, with zero meaning "no pain" and ten meaning "the worst pain imaginable."

Time frame: After surgery and before discharge home, up to 20 days

Postoperative complications

Pyelonephritis

Data from ClinicalTrials.gov

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