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Setting up a pediatric robotic urology program: A USA institution experience.
Prithvi B Murthy1, Eric D Schadler1, Marcelo Orvieto1
1Section of Urology, Comer Children's Hospital, The University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.
Summary
Establishing a pediatric robotic urology program requires careful planning for training, costs, and case volume. Integrating with adult programs can be feasible, but pediatric teams must lead specialty-specific goals for successful implementation.
Area of Science:
- Urology
- Surgical Robotics
- Pediatric Surgery
Background:
- Robotic surgery is prevalent in adult urology.
- Implementing a pediatric robotic surgery program demands institutional support and detailed planning.
- Integration with adult programs offers potential for resource sharing.
Purpose of the Study:
- To outline key factors for establishing and maintaining a pediatric robotic urology program.
- To highlight the importance of clinical and economic models, including marketing.
- To share institutional data on pediatric robotic surgery use over nine years.
Main Methods:
- Review of essential components for program implementation.
- Analysis of institutional support, training, cost, and case volume considerations.
- Presentation of data from a nine-year pediatric robotic surgery program (December 2007-December 2016).
Main Results:
- Successful pediatric robotic urology programs require proportional distribution of equipment costs and operating room time.
- Pediatric urology teams are crucial in defining volume expansion, case selection, resident training, and innovation goals.
- A robust economic model, including marketing, is essential for program sustainability.
Conclusions:
- Pediatric robotic urology programs can be successfully implemented, often within the framework of adult urology services.
- Strategic planning encompassing clinical and economic factors is vital for program success and growth.
- Ongoing data collection and analysis are important for program development and surgical innovation.
