Outpatient Robotic Unilateral Extravesical Ureteral Reimplantation in the Pediatric Population: Short-Term Assessment of Safety

Neheman, Amos; Strine, Andrew C.; Concodora, Charles W.; Schulte, Marion; Noh, Paul H.

doi:10.1016/j.juro.2018.08.083

Cited by 7 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our surgical technique for the various procedures has been previously published. 5,6 The Intuitive SurgicalÒ da Vinci S and Xi surgical systems were utilized during the study period. One camera trocar in the umbilicus and 2 instrument trocars were utilized without any bedside assistant ports.…”

Section: Methodsmentioning

confidence: 99%

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

et al. 2022

Self Cite

View full text Add to dashboard Cite

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, 27e99), median weight was 20 kg (IQR, 12e30) and median body mass index was 17 (IQR, 15e18). During the 30day 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.

show abstract

Section: Methodsmentioning

confidence: 99%

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

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Neheman et al (page 615) from Israel and Cincinnati, Ohio report on the safety of performing robotic extravesical ureteral reimplantation. 2 Among their small group of patients undergoing outpatient robotic ureteral reimplantation none had a Clavien-Dindo grade III or higher complication. The authors have shown that it is possible to create and work with the robot in the confined space of the pelvis and manipulate the ureter, although it remains to be established whether this is the best sequence of maneuvers.…”

Section: Outpatient Robotic Ureteral Reimplantationmentioning

confidence: 96%

This Month in Pediatric Urology

Wan¹

2019

Journal of Urology

View full text Add to dashboard Cite

show abstract

“…published a retrospective study of 27 pediatric patients who underwent RALUR-EV as an outpatient procedure, which reported promising results. [ 41 ] While additional studies on RALUR as an outpatient procedure are needed to assess its long-term outcomes with larger sample sizes, this innovative care pathway could eventually transform the current landscape of this procedure. With the possibility of performing RALUR as an outpatient procedure, we can potentially cater to the care of children by providing the potential option for them to recover in a comfortable and familiar environment.…”

Section: Ureteral Reimplantationmentioning

confidence: 99%

Pediatric robotic urologic procedures: Indications and outcomes

2023

View full text Add to dashboard Cite

Introduction: Robotic-assisted laparoscopic surgery (RALS) has revolutionized minimally invasive surgery in pediatric urology. The robotic platform allows surgeons to maintain the benefits of laparoscopic surgery while having enhanced three-dimensional view, dexterity, range of motion, and control of high-resolution cameras. In this review, we summarize the indications and recent outcomes for various pediatric urologic RALS procedures to illustrate the current state of robotics in pediatric urology. Methods: We systematically searched the PubMed and EMBASE databases. We extrapolated and summarized recent evidence on RALS in pediatric urology patients, with an emphasis on indications and outcomes, with regard to the following procedures and search terms: pyeloplasty, kidney stone surgery, partial nephrectomy, nephroureterectomy, ureteral reimplantation, appendico-vesicostomy, augmentation cystoplasty, bladder neck reconstruction, and Malone antegrade continence enema. Additional Medical Subject Headings terms used to augment the search included “Treatment Outcome” and “Robotic Surgical Procedures.” Results: Increasing usage of RALS has shown many benefits in perioperative and postoperative outcomes. In addition, there is growing evidence that robotic procedures in pediatric urology result in similar or better surgical outcomes when compared to the standard of care. Conclusions: RALS has shown considerable effectiveness in pediatric urologic procedures and may achieve surgical outcomes comparable to the standard approaches of open or laparoscopic surgery. However, larger case series and prospective randomized controlled trials are still necessary to validate the reported outcomes, in addition to cost analyses and studies on the surgical learning curve. We believe that the continuous evolution of robotic platforms will allow for enhanced care and quality of life for pediatric urology patients.

show abstract

Outpatient Robotic Unilateral Extravesical Ureteral Reimplantation in the Pediatric Population: Short-Term Assessment of Safety

Abstract: Robotic unilateral extravesical ureteral reimplantation is safe as an outpatient procedure in the pediatric population. Further evaluation is warranted to assess its short- and long-term outcomes on a larger scale.

Cited by 7 publications

References 3 publications

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

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

This Month in Pediatric Urology

Pediatric robotic urologic procedures: Indications and outcomes

Contact Info

Product

Resources

About