["Fast-track" in pediatric urologic surgery: pronenephrectomy]

Area of Science:

• Pediatric Urology
• Minimally Invasive Surgery
• Surgical Protocols

Context:

• The trend in minimal invasive surgery is towards faster patient recovery.
• Fast-track protocols are increasingly used in urological procedures.
• The viability of applying fast-track protocols to retroperitoneoscopic prone nephrectomy in children is being evaluated.

Purpose:

• To assess the feasibility of implementing fast-track protocols in pediatric retroperitoneoscopic prone nephrectomy.
• To evaluate patient recovery, comfort, and complications associated with this surgical approach.

Summary:

• A retrospective review of 34 pediatric patients undergoing retroperitoneoscopic prone nephrectomy was conducted.
• The study analyzed epidemiological factors, surgical time, postoperative pain management, and complications.
• A significant portion of patients experienced short hospital stays, with some discharged within 8 hours, demonstrating successful application of fast-track principles.

Impact:

• Fast-track protocols are suitable for pediatric prone-retroperitoneoscopic nephrectomy in healthy children.
• This approach can be integrated into day-case surgery, improving patient comfort.
• The implementation of this protocol has a positive economic impact on healthcare.