WOFAPS 2025 8th World Congress of Pediatric Surgery

Guangjie Chen, Yijun Zhao, Xiaohao Wang, Fan Yang, Linfeng Zhu, Dongyan Zhao

Zhejiang University

Objective： To report our analysis of complications in pediatric urological robotic surgery

Method: A retrospective analysis was conducted on 366 robotic surgeries performed by one team in the Department of Urology at Zhejiang University Children's Hospital from July 2020 to April 2024, including patient demographic data, intraoperative details, outcomes, and complications (Clavien system)

Result: 366 robotic surgeries were performed, with 231 males and 135 females; The minimum age is 28 days, and the maximum age is 15 years and 9 months; 184 cases of hydronephrosis, 97 cases of vesicoureteral reflux, 35 cases of duplicated kidneys, 27 cases of vesicoureteral junction obstruction, 14 cases of renal dysplasia, 4 cases of adrenal tumors, 4 cases of renal tumors, and 1 case of splenic tumor. There were 21 cases of complications, including 2 cases of grade I, 13 cases of grade II, and 6 cases of grade III. There were 2 cases of postoperative hydronephrosis and 9 cases without significant improvement; Two cases of recurrent obstruction after UVJO surgery; There was 1 case of reflux and 2 cases of residual after replantation surgery; 2 cases of intestinal obstruction; 2 cases of bleeding; Urinary retention 1 case; Complications incidence rate 21/366 5.7%

Conclusion: Pediatric urology robots are safe to perform, with a relatively low incidence of complications and a low rate of additional interventions due to complications. Further research is needed to validate our findings and support the continued use of robotic technology in pediatric populations