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Comparison of 30-day postoperative outcomes of open and minimally invasive pyeloplasty utilizing prospective NSQIP-P database

Journal of Pediatric Urology May 31, 2019

Woo K, et al. - Researchers compared outcomes of children undergoing minimally invasive pyeloplasty (MIP) vs open pyeloplasty (OP) for the surgical correction of ureteropelvic junction obstruction. From the pediatric National Surgical Quality Improvement Program (NSQIP), 1,280 patients who underwent MIP and 1,190 patients who underwent OP were identified. In the pediatric population, MIP offers an alternative to OP with similar rates of perioperative complications. They noted significantly decreased operative time for patients who underwent OP (192.42 vs 142.00 min) compared to those undergoing MIP. Multivariable analysis revealed a lower risk of procedure-related readmission among patients undergoing OP vs MIP. Multivariable linear regression model revealed a decrease in the risk of having any postoperative complication with increasing patient age; this was noted regardless of surgical approach.
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