Feasibility and safety of same-day discharge following single-port robotic-assisted laparoscopic prostatectomy.
Outcomes research
Patient discharge
Prostatectomy
Journal
World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
29
09
2022
accepted:
23
10
2022
pubmed:
3
11
2022
medline:
21
1
2023
entrez:
2
11
2022
Statut:
ppublish
Résumé
The standard discharge pathway following robotic-assisted laparoscopic prostatectomy (RALP) involves overnight hospital admission. Models for same-day discharge (SDD) have been explored for multiport RALP, however, less is known regarding SDD for single-port RALP, especially in terms of patient experience. Patient enrollment, based on preoperative determination of potential SDD eligibility, commenced March 2020 and ended March 2021. Day-of-surgery criteria were utilized to determine which enrolled patients underwent SDD. Differences in preoperative characteristics and perioperative outcomes between patients undergoing SDD and patients undergoing standard discharge were evaluated. A prospectively administered questionnaire was designed to characterize patient-centered factors informing SDD perception. Fifteen patients underwent SDD and 36 underwent standard discharge. Overall mean ± SD age and BMI were 63.6 ± 7.0 years and 29.7 ± 4.4 kg/m With comparable outcomes to the standard discharge pathway, SDD is safe and effective in single-port RALP. Post-operative pain and perceptions of distance are implicated as patient-centered barriers to SDD; proactive pain management and patient education strategies may facilitate SDD.
Identifiants
pubmed: 36322183
doi: 10.1007/s00345-022-04204-y
pii: 10.1007/s00345-022-04204-y
pmc: PMC9629187
mid: NIHMS1847317
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
35-41Subventions
Organisme : NCATS NIH HHS
ID : KL2 TR002346
Pays : United States
Organisme : NCATS NIH HHS
ID : TL1 TR002344
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002345
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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