Safety and feasibility of outpatient robot-assisted radical prostatectomy

Journal of Robotic Surgery
Pooya BanapourKirk Tamaddon

Abstract

Since its inception, robot-assisted radical prostatectomy (RARP) has developed into a familiar surgical modality with improved perioperative outcomes including decreased hospital stay for localized prostate cancer patients. Experience with outpatient RARP has been reported as early as 2010. In this study, we evaluate the safety and feasibility of outpatient RARP by comparing perioperative outcomes between patients undergoing outpatient RARP to patients discharged on the day following surgery. This is a single-institution retrospective cohort study. Patients with localized disease who underwent RARP without pelvic lymph node dissection from September 2017 to January 2018 were included. T tests and Chi-squared analysis were used to compare demographic and perioperative characteristics of patients who were discharged on the same day of surgery (outpatient RARP) to patients discharged on the day after surgery (inpatient RARP). Of the 51 patients included in the study, 26 underwent outpatient RARP while 25 underwent inpatient RARP. There was no significant difference in mean age (61.4 vs 65.8 years, p = 0.05), BMI (27.1 vs 28.3 kg/m2, p = 0.35), ethnicity, tobacco use (8 vs 15%, p = 0.41), PSA (8.7 vs 8.4 ng/dL, p = 0.77), biopsy Gl...Continue Reading

References

Apr 2, 2016·Journal of Endourology·Andre K BergerInderbir S Gill
Mar 2, 2017·Lancet·Thomas SeisenQuoc-Dien Trinh
Apr 4, 2017·Anesthesia and Analgesia·A Lopez-PicadoBorja Barrachina
Oct 4, 2017·Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica·Hamid AbboudiMathias Winkler
Jan 25, 2018·World Journal of Urology·Abbas BasiriHamidreza Shemshaki

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Citations

Jan 25, 2020·Journal of Endourology·Ryan W DobbsDavid I Lee
Feb 13, 2021·Journal of Clinical Medicine·Razvan George RahotaGuillaume Ploussard
Jul 1, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Kristian D StenslandAndrew A Wagner
Aug 31, 2021·Current Opinion in Anaesthesiology·Carlos E Guerra-LondonoMaria F Ramirez Manotas
Jan 29, 2022·Journal of Robotic Surgery·Marcio Covas MoschovasVipul Patel

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