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Volume 13
Issue 6
10.3390/children13060728
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Systematic Review

Comparative Outcomes of Robot-Assisted and Laparoscopic Pyeloplasty in Infants and Toddlers: A Systematic Review and Meta-Analysis

by
Maciej Szyduczyński
1,
Johannes Korneliussen
2,
Adrianna Jażdżewska
2,
Daria Sosińska
1,
Ewelina Wojciechowska
1,
Stefan Anzelewicz
1 and
Andrzej Gołębiewski
1,*
1
Department of Surgery and Urology for Children and Adolescents, Faculty of Medicine, Medical University of Gdańsk, Smoluchowskiego 17, 80-214 Gdańsk, Poland
2
Faculty of Medicine, Medical University of Gdańsk, Smoluchowskiego 17, 80-214 Gdańsk, Poland
*
Author to whom correspondence should be addressed.
Children 2026, 13(6), 728; https://doi.org/10.3390/children13060728 (registering DOI)
Submission received: 28 March 2026 / Revised: 11 May 2026 / Accepted: 20 May 2026 / Published: 23 May 2026
(This article belongs to the Special Issue New Technologies in Diagnosis and Treatment in Pediatric Urology)
Versions Notes

Abstract

Background: Ureteropelvic junction obstruction (UPJO) represents a common congenital anomaly in infants and young children. While minimally invasive approaches, including laparoscopic pyeloplasty (LP) and robot-assisted laparoscopic pyeloplasty (RALP), have gained acceptance, comparative outcomes in children younger than 3 years have still not been well-established. This study aimed to evaluate the safety and efficacy of RALP versus LP in infants and children younger than 3 years or weighing < 15 kg. Methods: A systematic literature search of PubMed, Web of Science, and Embase was conducted through May 2025. Five retrospective cohort studies comprising 272 patients met inclusion criteria (age younger than 3 years or weighing < 15 kg). Meta-analysis was performed using random-effects models. Results: Hospital stay was significantly shorter in the RALP group compared with LP (mean difference = −1.69 days; 95% CI: −2.71 to −0.67). No statistically significant differences were observed in operative time, complication rates, or success rates between approaches. Conclusions: RALP is associated with significantly reduced hospitalization time compared with LP in infants and young children, while maintaining comparable safety and efficacy profiles. These findings support RALP as a valuable minimally invasive option in this challenging patient population, though larger prospective studies are warranted.
Keywords: children; infants; pyeloplasty; laparoscopic; robotic; hydronephrosis children; infants; pyeloplasty; laparoscopic; robotic; hydronephrosis

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MDPI and ACS Style

Szyduczyński, M.; Korneliussen, J.; Jażdżewska, A.; Sosińska, D.; Wojciechowska, E.; Anzelewicz, S.; Gołębiewski, A. Comparative Outcomes of Robot-Assisted and Laparoscopic Pyeloplasty in Infants and Toddlers: A Systematic Review and Meta-Analysis. Children 2026, 13, 728. https://doi.org/10.3390/children13060728

AMA Style

Szyduczyński M, Korneliussen J, Jażdżewska A, Sosińska D, Wojciechowska E, Anzelewicz S, Gołębiewski A. Comparative Outcomes of Robot-Assisted and Laparoscopic Pyeloplasty in Infants and Toddlers: A Systematic Review and Meta-Analysis. Children. 2026; 13(6):728. https://doi.org/10.3390/children13060728

Chicago/Turabian Style

Szyduczyński, Maciej, Johannes Korneliussen, Adrianna Jażdżewska, Daria Sosińska, Ewelina Wojciechowska, Stefan Anzelewicz, and Andrzej Gołębiewski. 2026. "Comparative Outcomes of Robot-Assisted and Laparoscopic Pyeloplasty in Infants and Toddlers: A Systematic Review and Meta-Analysis" Children 13, no. 6: 728. https://doi.org/10.3390/children13060728

APA Style

Szyduczyński, M., Korneliussen, J., Jażdżewska, A., Sosińska, D., Wojciechowska, E., Anzelewicz, S., & Gołębiewski, A. (2026). Comparative Outcomes of Robot-Assisted and Laparoscopic Pyeloplasty in Infants and Toddlers: A Systematic Review and Meta-Analysis. Children, 13(6), 728. https://doi.org/10.3390/children13060728

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