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Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy.
Kotamarti, Srinath; Williams, Thomas; Silver, Michael; Silver, David A; Schulman, Ariel A.
  • Kotamarti S; Maimonides Medical Center, 745 64th St. 4th Floor, Brooklyn, NY, 11220, USA.
  • Williams T; Hofstra-Northwell School of Medicine, 450 Lakeville Rd, Suite M42, Lake Success, NY, 11042, USA.
  • Silver M; Maimonides Medical Center, 745 64th St. 4th Floor, Brooklyn, NY, 11220, USA.
  • Silver DA; , 450 Clarkson Ave, BSB 4-32, Brooklyn, NY, 11203, USA.
  • Schulman AA; Maimonides Medical Center, 745 64th St. 4th Floor, Brooklyn, NY, 11220, USA.
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.
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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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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