Expérience de la prostatectomie totale robot-assistée ambulatoire. À propos de 32 cas

Thomas, L.; Lacarrière, E.; Martinache, G.; Martinache, P. R.

doi:10.1016/j.purol.2019.08.260

Cited by 8 publications

(12 citation statements)

References 16 publications

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“…2e6,9e12,18e22 Study Characteristics and Quality There were 14 articles included for analysis, including 8 prospective cohort studies, 2,5,6,9,10,18,19,22 and 6 retrospective cohort studies. 3,4,11,12,20,21…”

Section: Study Identificationmentioning

confidence: 99%

“…Patients were "healthy," with ASA scores 4 or 3, 4,5,19 had no history of previous abdominal surgeries 4,19,22 or obstructive sleep apnea 5 and were not on oral anticoagulants. 2,9,10,20,21 Patients were also "feasible" as they were the first case of the day, 2,5,10,18 lived 150 km away 4,9,10,20,21 and lived with a caregiver. 9,21 All patients had the option to refuse SDD and were admitted if there were intraoperative complications.…”

Section: Sdd Program Detailsmentioning

confidence: 99%

“…2,9,10,20,21 Patients were also "feasible" as they were the first case of the day, 2,5,10,18 lived 150 km away 4,9,10,20,21 and lived with a caregiver. 9,21 All patients had the option to refuse SDD and were admitted if there were intraoperative complications. Preoperatively, patients were counseled on their typical recovery course.…”

Section: Sdd Program Detailsmentioning

confidence: 99%

“…Preoperatively, patients were counseled on their typical recovery course. 3,21 Ploussard et al 2020 developed a prehabilitation program for their SDD patients. 10 Intraoperatively, anesthetists utilized short-acting anesthetics with reversal agents, as well as limited narcotic administration and intravenous fluids.…”

Section: Sdd Program Detailsmentioning

confidence: 99%

“…18 Overall satisfaction was measured in 4 studies. 2,5,10,19,21 Bajpai et al found that discharge time was significantly negatively correlated with several quality of life measures (physical domain, emotional domain, Functional Assessment of Cancer Therapy-Prostate and Functional Assessment of Cancer Therapy-General) and positively correlated with measures of pain (pain severity score and pain inference score). 19 In the remainder of the satisfaction data, 87.5%e100% of patients reported their SDD experience to be overall satisfactory.…”

Section: Cost and Satisfaction Datamentioning

confidence: 99%

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Successful Same-Day Discharge for Robot-Assisted Radical Prostatectomy: A Systematic Review and Meta-Analysis

Millan

Jones

et al. 2022

Urology Practice

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Introduction: Same-day discharge (SDD) following robot-assisted radical prostatectomy (RARP) is emerging as the standard of care. We conducted a systematic review and meta-analysis to evaluate the differences in perioperative characteristics, complication/readmissions rates and satisfaction/cost data between inpatient (IP) RARP and SDD RARP.Methods: This study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and was prospectively registered with PROSPERO (CRD42021258848). A comprehensive search of PubMedÒ, EmbaseÒ, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov and conference abstract publications was performed. A leave-one-out sensitivity analysis was performed to control for heterogeneity and risk of bias.Results: A total of 14 studies were included with a pooled population of 3,795 patients, including 2,348 (61.9%) IP RARPs and 1,447 (38.1%) SDD RARPs. SDD pathways varied, though many commonalities were present in patient selection, perioperative recommendations and postoperative management. When compared to IP RARP, SDD RARP had no differences in !grade 3 ClavieneDindo complications (RR: 0.4, 95% CI 0.2, 1.1, p¼0.07), 90-day readmission rates (RR: 0.6, 95% CI 0.3, 1.1, p¼0.10) or unscheduled emergency department visits (RR: 1.0, 95% CI 0.3, 3.1, p¼0.97). Cost savings per patient ranged between $367 and $2,109, and overall satisfaction was high at 87.5%e100%.Conclusions: SDD following RARP is both feasible and safe, while potentially offering health care cost savings with high patient satisfaction rates. Data from this study will inform the uptake and development of future SDD pathways in contemporary urological care such that it may be offered to a broader patient population.

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Section: Study Identificationmentioning

confidence: 99%

Section: Sdd Program Detailsmentioning

confidence: 99%

Section: Sdd Program Detailsmentioning

confidence: 99%

Section: Sdd Program Detailsmentioning

confidence: 99%

Section: Cost and Satisfaction Datamentioning

confidence: 99%

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Successful Same-Day Discharge for Robot-Assisted Radical Prostatectomy: A Systematic Review and Meta-Analysis

Millan

Jones

et al. 2022

Urology Practice

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Same-day discharge surgery for robot-assisted radical prostatectomy in the era of ERAS and prehabilitation pathways: a contemporary, comparative, feasibility study

et al. 2020

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Safety and feasibility of same-day discharge laparoscopic radical prostatectomy: a systematic review

et al. 2022

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Purpose Day case or same-day discharge (SDD) pure laparoscopic or robot-assisted radical prostatectomy (RP) has risen over the last few years with the aim of discharging patients within 24 h, reducing costs and length of stay, and facilitating return to active life. We perform a systematic review of literature to evaluate the feasibility of SDD RP. Methods A systematic review search was performed and the following bibliographic databases were accessed: PubMed, Science Direct, Scopus, and Embase. This was carried out in accordance with the Preferred Reporting Items for Systematic reviews and Meta-analyses (PRISMA) guidelines. Results Based on the literature search of 509 articles, 12 (1378 patients) met the inclusion criteria (mean age: 63 years). All studies were unicentric except one. The mean SDD surgeries experience per centre was 66 cases .The means operative time and blood loss were 154 min and 126.5 ml, respectively. Mean SDD failure was 7.4%. Concomitant lymph node dissection was performed in 56.2%. The overall complication rate was 10.2% of cases; with a majority of Clavien grade I or II. Mean readmission rate after discharge was 5%. SDD generated cost reductions compared to inpatient surgery with variable differences according to the considered healthcare system. Conclusions Day-case RP is a safe and feasible strategy in selected cases with multicentre proofs of concept. Its widespread use in routine practice needs further research due to biases in patient selection. Implementation of peri-operative pathways such as ERAS and prehabilitation improves patient adherence to SDD.

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Expérience de la prostatectomie totale robot-assistée ambulatoire. À propos de 32 cas

Cited by 8 publications

References 16 publications

Successful Same-Day Discharge for Robot-Assisted Radical Prostatectomy: A Systematic Review and Meta-Analysis

Successful Same-Day Discharge for Robot-Assisted Radical Prostatectomy: A Systematic Review and Meta-Analysis

Same-day discharge surgery for robot-assisted radical prostatectomy in the era of ERAS and prehabilitation pathways: a contemporary, comparative, feasibility study

Safety and feasibility of same-day discharge laparoscopic radical prostatectomy: a systematic review

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