Minimally Invasive versus Open Ureteral Reimplantation in Children: A Systematic Review and Meta-Analysis
Topic overview
This systematic review and meta-analysis of 7,882 pediatric patients compares minimally invasive surgical approaches (laparoscopic and robot-assisted) to traditional open ureteral reimplantation. MIS demonstrated shorter hospital stays while maintaining comparable safety and efficacy outcomes, informing surgical decision-making for vesicoureteral reflux management in children.
Key takeaways
- Minimally invasive ureteral reimplantation reduces hospital stay by ~2.8 days vs open surgery in pediatric patients.
- MIS and open approaches show comparable success rates and postoperative UTI rates in children with vesicoureteral reflux.
- Operative time is longer for MIS, but blood loss and wound complications are reduced compared to open reimplantation.
- Meta-analysis of 7,882 children supports MIS as a safe alternative with faster recovery despite technical complexity.
- Postoperative hematuria and urinary retention rates are similar between minimally invasive and open techniques.
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How to cite: GlobalCastMD. Minimally Invasive versus Open Ureteral Reimplantation in Children: A Systematic Review and Meta-Analysis. GlobalCastMD Medical Library. 2023-03-07. https://dev.library.globalcastmd.com/article/8451?via_space=staycurrentmd
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