Open versus minimally invasive surgical approaches in pediatric urology: Trends in utilization and complications.

ABSTRACT:

Objective

Minimally invasive surgery (MIS) techniques are anecdotally reported to be increasingly used, but little objective data supports this. Our objective was to assess trends in MIS utilization across various procedures in pediatric urology and to compare postoperative complication rates between MIS and open procedures.

Methods

We analyzed the 1998-2012 Nationwide Inpatient Sample. We identified children (<18 years old) undergoing open and MIS inpatient procedures and any in-hospital post-operative complications that occurred during that postoperative hospitalization. We utilized propensity score matching and multivariable logistic regression to adjust for confounding factors.

Results

We identified 163,838 weighted encounters in the "overall cohort," 70,273 of wh

SUBMITTER: Tejwani R 

PROVIDER: S-EPMC5483194 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature