Assessment of routine same-day discharge surgery for robot-assisted radical prostatectomy

Broe, Mark; Carbin Joseph, Danny Darlington; Casson, Helen; Innes, Maria; Adamou, Constantinos; Fragkoulis, Gerasimos; Moschonas, Dimitrios; Kusuma, Venkata Ramana Murthy; Hicks, James; Patil, Krishna; Perry, Matthew James Alexander; Abou Chedid, Wissam

doi:10.1007/s00345-023-04566-x

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…To date, few data have been published regarding the patient satisfaction to SDD RARP [ 1 , 8 ]. A recent longitudinal prospective study including 72 RARP patients reported that SDD did not affect satisfaction compared with patients staying 1 or 2 nights at hospital after surgery [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have assessed the safety of same-day discharge (SDD) robot-assisted radical prostatectomy (RARP) in routine practice [ 1 – 5 ]. Although different countries’ experience demonstrated comparable rates of complications between inpatient and outpatient surgery, the spread of this hospitalization type remains limited.…”

Section: Introductionmentioning

confidence: 99%

“…This low proportion of SDD cases could be explained by weak patient adherence and/or unoptimized perioperative pathways. Moreover, very few data on patient-reported experience and satisfaction have been reported after SDD RARP [ 1 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Patient experience and satisfaction after same-day discharge radical prostatectomy using a personalized, digital perioperative programme

d’Agate,

Martini,

Lesourd

et al. 2024

World J Urol

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Purpose To assess the patient experience and satisfaction after the implementation in routine of a personalized, digital programme before and after same-day discharge (SDD) robot-assisted radical prostatectomy (RARP). Methods The study is a pre/post-interventional, multi-surgeon, unicentre, prospective study. All consecutive patients undergoing SDD RARP were included during a 6-month period. After a pre-interventional assessment of the satisfaction rate (n = 26), all patients (n = 46) were introduced to the Betty. Care platform and followed the BETTY COACHING programme which included a specific radical prostatectomy module. The primary endpoint was patient satisfaction 6 weeks after SDD RARP. Secondary endpoints were hospital stay, readmission and complications rates, unplanned visits, and remote monitoring data. Results Median age and PSA were 66 years and 7.0 ng/ml. Lymph node-dissection and nerve-sparing procedures were performed in 41.3 and 87.0% of patients, respectively. Median operative time and blood loss were 80 min and 150 ml, respectively. The 90-day rates of unplanned visits, readmission and complications were improved after the digital tool implementation (2.2, 2.2, and 8.7%, respectively). Mean satisfaction score was 9.6 out of 10 (8.0 before implementation). Median duration of pain was 2 days after discharge, with median pain intensity of 2/10. Median duration of daily active use of remote monitoring was 34 days. The urinary continence rate was 91.3% 6 weeks after surgery in the postinterventional cohort. Conclusions The implementation of a personalized, surgery-specific, digital programme combining prehabilitation, patient education, rehabilitation, patient-reported outcome measurement and remote monitoring, improves patient experience and satisfaction and could help promoting early discharge even after a major surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patient experience and satisfaction after same-day discharge radical prostatectomy using a personalized, digital perioperative programme

d’Agate,

Martini,

Lesourd

et al. 2024

World J Urol

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Introduction of day-case robotic liver surgery: a case series from a tertiary hepatobiliary and pancreatic centre

Yeung,

Vellaisamy,

Hussain

et al. 2024

Surg Endosc

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Background Liver surgery is associated with a significant hospital stay regardless the type of liver resection. A large incision is essential for open liver surgery which is a major factor in the course of the patient’s recovery. For patients with small parenchyma liver lesions requiring surgical resection, robotic surgery potentially offers the opportunity to transform the patient’s post-operative course. A day-case robotic liver resection pathway was formulated and implemented at our institution when patients were planned for discharge within 24 h of admission for liver surgery. Methods Single surgeon case series of cases performed at a tertiary hepatobiliary and pancreatic centre between September 2022 and November 2023. The inclusion criteria were non-anatomical wedge resections, < 2 anatomical segmental resections, left lateral hepatectomy and minimally invasive surgery. Results This is the first series of robotic day-case minor liver resection in the United Kingdom. 20 patients were included in this case series. The mean operative time was 86.6 ± 30.9 min and mean console time was 58.6 ± 24.5 min. Thirteen patients (65%) were discharged within 24 h of surgery. The main cause of hospitalisation beyond 24 h was inadequate pain relief. There were no Clavien–Dindo grade III or above complications, no 30-day readmission and 90-day mortalities. Conclusion This case series demonstrates that robotic day-case liver resection is safe and feasible. Robust follow-up pathways must be in place to allow for the safe implementation of this approach, to monitor for any complications and to allow intervention as required in a timely manner.

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Perioperative management in oncological patients undergoing major robotic urological surgery

Ceccarelli,

Covotta,

Claroni

et al. 2024

Trends in Anaesthesia and Critical Care

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Assessment of routine same-day discharge surgery for robot-assisted radical prostatectomy

Cited by 6 publications

References 20 publications

Patient experience and satisfaction after same-day discharge radical prostatectomy using a personalized, digital perioperative programme

Patient experience and satisfaction after same-day discharge radical prostatectomy using a personalized, digital perioperative programme

Introduction of day-case robotic liver surgery: a case series from a tertiary hepatobiliary and pancreatic centre

Perioperative management in oncological patients undergoing major robotic urological surgery

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