{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T10:59:36Z","timestamp":1781175576885,"version":"3.54.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Outpatient pathways are increasingly implemented, including robot-assisted partial nephrectomy (RAPN). However, the evidence supporting same-day RAPN originates from heterogeneous center series. As such, we synthesized the evidence in this systematic review and meta-analysis, comparing operative outcomes between outpatient and inpatient RAPN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 and AMSTAR guidelines. Three electronic databases (PubMed, Scopus, and Web of Science) were searched from their inception until June 18, 2025. Original studies reporting operative outcomes and relevant data, comparing the outpatient and inpatient RAPN, were included. We used risk ratio (RR) and mean difference (MD) with their 95% confidence interval (CI) to compare dichotomous and continuous outcomes, respectively. The primary outcome was the major postoperative complication rate, and the secondary outcomes were overall complications, unscheduled visits, and readmission after operation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 168 titles and abstracts were included for initial screening. The full-text assessment was conducted on 22 articles, and 6 remained in our final analysis. This represented 1559 patients, of which 830 (53.24%) and 729 (46.76%) composed the outpatient and inpatient cohorts, respectively. In the outpatient group, the proportion of low ASA scores (I\u2013II) was significantly higher than that in the inpatient group (RR = 1.41, 95% CI: 1.13\u20131.77,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003). Regarding perioperative outcomes, the outpatient had shorter operative time (MD = \u221219.4 minutes, 95% CI \u221234.48 to 4.27,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.012), shorter warm ischemia time (MD = \u22124.94 minutes, 95% CI: \u22129.45 to 0.43,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.032), and more pathologic T1 stage (RR = 1.06, 95% CI: 1.01\u20131.11,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.018). After an operation, outpatients were at lower risk of major complications (RR = 0.44, 95% CI: 0.24\u20130.81,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.009), but more likely to have unscheduled visits (RR = 2.78, 95% CI: 1.24\u20136.21,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.013). Overall and minor complications, postoperative readmission, transfusion rates, and estimated blood loss were comparable between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Based on the available evidence, outpatient RAPN could be a safe and feasible option for carefully selected patients, provided an appropriate postoperative support is available.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261441727","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T11:44:13Z","timestamp":1776426253000},"page":"755-765","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Outpatient\n                    <i>vs<\/i>\n                    Inpatient Robotic Partial Nephrectomy: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4309-8082","authenticated-orcid":false,"given":"Tuan Thanh","family":"Nguyen","sequence":"first","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam."},{"name":"Department of Urology, Cho Ray Hospital, Ho Chi Minh City, Viet Nam."},{"name":"Department of Urology, University of California Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trong Huan","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Urology, College of Medicine, Seoul National University Hospital, Seoul National University, Seoul, South Korea."},{"name":"Department of Urology, Binh Dan Hospital, Ho Chi Minh City, Viet Nam."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Xuong","family":"Duong","sequence":"additional","affiliation":[{"name":"Department of Urology, University of California Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quang Sinh","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Urology, Binh Dan Hospital, Ho Chi Minh City, Viet Nam."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David-Dan","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Division of Urology, University of Toronto, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan W.","family":"Dobbs","sequence":"additional","affiliation":[{"name":"Cook County Health &amp; Hospitals System, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Shahait","sequence":"additional","affiliation":[{"name":"Surgery Department, Clemenceau Medical Center, Dubai, UAE."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan Thai","family":"Ngo","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam."},{"name":"Department of Urology, Cho Ray Hospital, Ho Chi Minh City, Viet Nam."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narmina","family":"Khanmammadova","sequence":"additional","affiliation":[{"name":"Department of Urology, University of California Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anh Toan","family":"Do","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanh Thi Tuyet","family":"Ngo","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinh Luan","family":"Thai","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huy Gia","family":"Vuong","sequence":"additional","affiliation":[{"name":"Hospitals &amp; Clinics, University of Iowa, Iowa City, Iowa, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Se Young","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Urology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Dongjak-gu, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chang-Wook","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Urology, College of Medicine, Seoul National University Hospital, Seoul National University, Seoul, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David I.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Urology, University of California Irvine, Orange, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2025.02.020"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2023.0505"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prnil.2023.04.002"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2023.1049294"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prnil.2024.04.003"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-025-01254-8"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.04.111"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2022.03.021"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-025-05968-9"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2021.105906"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.3163\/1536-5050.104.4.009"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2024.03.034"},{"key":"e_1_3_5_14_1","unstructured":"13.Institute OHR. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Available from: https:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp [Last accessed: September4 2025]."},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2022.0510"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-015-1044-7"},{"issue":"6","key":"e_1_3_5_17_1","first-page":"773","article-title":"Single overnight stay after robot-assisted partial nephrectomy: A bi-center experience","volume":"73","author":"Carbonara U","year":"2021","unstructured":"16.Carbonara U, , Lee J, , Crocerossa F, et al. Single overnight stay after robot-assisted partial nephrectomy: A bi-center experience. 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