Outpatient Robotic Surgery in Pediatric Urology: Assessment of Feasibility and Short-Term Safety

Amos Neheman, Eyal Kord*, Brian A. Vanderbrink, Eugene A. Minevich, Paul H. Noh

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Purpose:Robotic reconstructive and extirpative procedures have been widely utilized for surgical management of various conditions in pediatric urology. Outpatient laparoscopic surgery has become the standard in cases of orchidopexy, inguinal hernia repair and varicocelectomy. There is a growing body of evidence that robotic surgery for more complex conditions can also be performed in an outpatient setting. The aim of the study was to assess the short-term safety and feasibility of robotic reconstructive and extirpative procedures for various pediatric urological conditions as scheduled outpatient procedures.Materials and Methods:Demographic information and perioperative data were prospectively collected in an institutional database for all pediatric patients undergoing outpatient robotic surgery from June 2012 to December 2019. Primary outcomes included rates of 30-day complications, emergency room visits and readmissions.Results:A total of 135 pediatric patients underwent robotic procedures in an outpatient setting. The majority underwent pyeloplasty (62) or extravesical ureteral reimplantation (55). Ten patients underwent ureteroureterostomy and 8 patients underwent extirpative procedures (nephrectomy, hemi-nephrectomy). Median age at surgery was 62 months (IQR, 27-99), median weight was 20 kg (IQR, 12-30) and median body mass index was 17 (IQR, 15-18). During the 30-day followup period there were 9 complications (6.7%), of which only 1 (0.7%) was high grade (Clavien-Dindo 3). There were 9 emergency room visits (6.7%) including 5 cases of readmission (3.7%).Conclusions:Robotic reconstructive and extirpative procedures in pediatric urology can be safely performed as scheduled outpatient procedures in the majority of patients, obviating the need for routine inpatient care.

Original languageEnglish
Pages (from-to)894-899
Number of pages6
JournalJournal of Urology
Issue number4
StatePublished - 1 Apr 2022


  • ambulatory surgical procedures


Dive into the research topics of 'Outpatient Robotic Surgery in Pediatric Urology: Assessment of Feasibility and Short-Term Safety'. Together they form a unique fingerprint.

Cite this