ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Pediatric Urology
Volume 13 - 2025 | doi: 10.3389/fped.2025.1623031
Feasibility Analysis of Ambulatory Surgery in Pediatric Ureteropelvic Junction Obstruction
Provisionally accepted
- Nanjing Children's Hospital, Nanjing, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Objective: This study aimed to investigate the feasibility and safety of laparoscopic pyeloplasty for infants and children in an ambulatory surgery setting.Methods: 78 children with ureteropelvic junction obstruction (UPJO) admitted to the Department of Urology in Children's Hospital of Nanjing Medical University from 1 January 2023 to 31 July 2024 (the inpatient group) and 74 children with UPJO admitted to the ambulatory ward from 1 January 2023 to 31 July 2024 (the ambulatory group) were retrospectively analyzed. The two groups were compared with respect to operative time, length of hospital stay, hospitalization cost, and postoperative complications.Results: There was no statistically significant difference between the two groups in terms of age at surgery, gender, ratio of unilateral UPJO, operative time. The hospitalization cost, length of hospital stay, indwelling urinary catheterization duration, and postoperative double J stent removal time in the ambulatory group were all shorter than those in the inpatient group. There was no significant difference between the two groups in postoperative complications such as reoperation, double J stent replacement, urinary tract infection, fever, vomiting and pain.Conclusion: Ambulatory surgery for pediatric UPJO is safe and effective. It reduces length of hospital stay and hospitalization cost, effectively improves bed utilization and turnover rate, and does not cause an increase in complication rates.
Keywords: pediatric, Ureteropelvic junction obstruction, Ambulatory surgery, Laparoscopic pyeloplasty, prognosis
Received: 05 May 2025; Accepted: 25 Jun 2025.
Copyright: © 2025 Fang, Lu and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ting Chen, Nanjing Children's Hospital, Nanjing, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.