Comparison of Length of Hospital Stay Between Radical Retropubic Prostatectomy and Robotic Assisted Laparoscopic Prostatectomy

Nelson, Bradford A.; Kaufman, Melissa R.; Broughton, Gregory; Cookson, Michael S.; Chang, Sam S.; Herrell, S. Duke; Baumgartner, Roxelyn G.; Smith, Joseph A.

doi:10.1016/j.juro.2006.10.070

Cited by 173 publications

(94 citation statements)

References 9 publications

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“…In a comparative study from the Mayo Clinic, 29% of RALP vs. 19% of ORP patients had a 1-day LOS ( p = 0.004). Nelson et al showed that over 95% of RP patients can be discharged from the hospital by the end of the first postoperative day[29]. The mean LOS for RALP patients in their study was 1.17 days compared to 1.25 days for ORP patients.…”

Section: Comparison and Discussion Of Orp And Ralpmentioning

confidence: 86%

Evidence-Based Comparison of Robotic and Open Radical Prostatectomy

Lowrance

Tarin

Shariat

2010

The Scientific World JOURNAL

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The rapid adoption of robotic-assisted laparoscopic radical prostatectomy (RALP) has occurred despite a lack of high-quality evidence demonstrating its oncologic advantages, safety, or cost effectiveness compared with open radical retropubic prostatectomy (ORP). This review examines the current literature comparing ORP and RALP, focusing on perioperative, oncologic, functional, and economic outcomes.

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Section: Comparison and Discussion Of Orp And Ralpmentioning

confidence: 86%

Evidence-Based Comparison of Robotic and Open Radical Prostatectomy

Lowrance

Tarin

Shariat

2010

The Scientific World JOURNAL

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“…The equipment is expensive and the operating time is, at least during the learning period, longer than in radical retropubic prostatectomy (RRP). It is hoped that these costs will be outweighed by savings due to shorter postoperative hospital care, reduced number of blood transfusions, less need for postoperative analgesics [1,2,4,5] and shorter sick leave.…”

Section: Introductionmentioning

confidence: 99%

Open retropubic prostatectomy versus robot-assisted laparoscopic prostatectomy: A comparison of length of sick leave

Hohwü

Akre

Pedersen

et al. 2009

Scandinavian Journal of Urology and Nephrology

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Objective. It remains uncertain whether the increased direct costs of robot-assisted laparoscopic radical prostatectomy (RALP) are outweighed by cost savings due to shorter postoperative hospital care and shorter sick leave. This study compared the length of sick leave after RALP with that after radical retropubic prostatectomy (RRP). Material and methods. In a cohort study, information on length of sick leave was retrieved for 274 working men undergoing radical prostatectomy (127 RALP and 147 RRP). Data on confounders such as physical workload, average salary, body mass index and disease characteristics were collected from the medical records. Cox regression models were used to compare the treatment groups. Results. The median number of days with sick leave was 11 in the RALP group and 49 in the RRP group. After adjustment for confounders, patients in the RALP group were twice as likely to return to work at any time during follow-up (hazard ratio 02.13, 95% confidence interval 1.62Á2.80). High physical workload, low salary and high tumour grade were more common in the RRP group and associated with longer sick leave. Conclusions. Patients in the RALP group had shorter postoperative hospital stay and less need for paid sick leave than patients in the RRP group. These data indicate that RALP shortens the convalescence. Part of this difference may, however, be attributable to different selection of patients and different a priori expectations among patients and their doctors. A prospective randomized study is advocated, although blinding is unfeasible.

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“…Although there are developing data to suggest a quicker return of urinary continence, the only objective, consistently proven benefit of robotic versus open prostatectomy to date is reduced intraoperative blood loss, which is of questionable clinical significance. 15 Identical hospital stay 16 and postoperative pain 17 have been reported for both procedures. Therefore, unlike the consistently demonstrated advantages of laparoscopic nephrectomy, the morbidity of robotic versus open prostatectomy appear to be equivalent.…”

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confidence: 82%

“…In their report of 5483 patients who underwent surgery for renal cancer between 1997 and 2002, only 11.1% of patients underwent NSS, and 11% of radical nephrectomies were performed laparoscopically. Even when the indications for NSS and LRN were strongest (tumors 4 cm and >4 cm, respectively), the use of NSS was only 23.5% and the use of LRN was only 16.2% in 2002. These are incriminating numbers.…”

mentioning

confidence: 99%