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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

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Outpatient vs Inpatient Robotic Partial Nephrectomy: A Systematic Review and Meta-Analysis.

Tuan Thanh Nguyen1,2,3, Trong Huan Tran4,5, Nguyen Xuong Duong3

  • 1University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam.

Journal of Endourology
|April 17, 2026
PubMed
Summary
This summary is machine-generated.

Outpatient robot-assisted partial nephrectomy (RAPN) is a safe option for selected patients, showing fewer major complications. However, it may lead to more unscheduled visits, requiring careful postoperative support.

Keywords:
inpatientmeta-analysisoutcomesoutpatientrobotic partial nephrectomysame-day dischargesurgery

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Health Services Research

Background:

  • Outpatient pathways are increasingly adopted for procedures like robot-assisted partial nephrectomy (RAPN).
  • Evidence for same-day discharge after RAPN is limited and based on varied center experiences.
  • A systematic review and meta-analysis were conducted to compare outcomes of outpatient versus inpatient RAPN.

Purpose of the Study:

  • To synthesize existing evidence on operative outcomes comparing outpatient and inpatient robot-assisted partial nephrectomy (RAPN).
  • To evaluate the safety and feasibility of same-day discharge protocols for RAPN.
  • To identify potential differences in complication rates and healthcare utilization between the two approaches.

Main Methods:

  • A systematic review and meta-analysis were performed adhering to PRISMA 2020 and AMSTAR guidelines.
  • Searches were conducted in PubMed, Scopus, and Web of Science databases up to June 18, 2025.
  • Included studies compared operative outcomes between outpatient and inpatient RAPN, analyzing dichotomous and continuous data using risk ratios and mean differences.

Main Results:

  • The analysis included 6 studies with 1559 patients (830 outpatient, 729 inpatient).
  • Outpatient RAPN patients had lower ASA scores, shorter operative and warm ischemia times, and more pathologic T1 stage tumors.
  • Outpatient RAPN was associated with a lower rate of major postoperative complications but a higher rate of unscheduled visits.

Conclusions:

  • Outpatient robot-assisted partial nephrectomy (RAPN) appears to be a safe and feasible approach for carefully selected patients.
  • Appropriate postoperative support systems are crucial for the success of outpatient RAPN protocols.
  • While major complications are reduced, increased unscheduled visits necessitate careful patient selection and monitoring.