Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy.
J Robot Surg
; 14(6): 913-915, 2020 Dec.
Article
in English
| MEDLINE | ID: covidwho-617358
ABSTRACT
Robotic-assisted laparoscopic prostatectomy (RALP) is the gold standard for the surgical management of localized prostate cancer (PCa). Multi-institutional series have demonstrated complications and readmissions in less than 5% of patients and most are now discharged within 24 h of surgery. Recently, several high-volume surgeons demonstrated the safety of same-day discharge (SDD) after RALP. The main benefits include lower costs and reduced exposure to nosocomial infections and hospital errors. The leading arguments for criticism include potential suboptimal postoperative care and the risk of missing a catastrophic event. In recent years, important advances have further strengthened the argument for SDD including more structured perioperative care, integration of single-port robotic systems, and new challenges presented by the coronavirus 2019 (COVID-19) pandemic. Here, we provide further evidence demonstrating the safety of SDD in a multi-institutional cohort of patients and review the main arguments supporting the expanded use of this approach.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Patient Admission
/
Prostatectomy
/
Prostatic Neoplasms
/
Laparoscopy
/
Perioperative Care
/
Ambulatory Care
/
Robotic Surgical Procedures
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
J Robot Surg
Year:
2020
Document Type:
Article
Affiliation country:
S11701-020-01115-1
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