Outpatient Extraperitoneal Single-Port Robotic Radical Prostatectomy

Wilson, Clark A.; Aminsharifi, Alireza; Sawczyn, Guilherme; Garisto, Juan; Yau, Roger; Eltemamy, Mohamed; Kim, Soo Dong; Lenfant, Louis; Kaouk, Jihad

doi:10.1016/j.urology.2020.06.029

Cited by 55 publications

(28 citation statements)

References 18 publications

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“…From a total of 509 articles, 12 studies were selected, which satisfied our predefined search criteria [4,6,[9][10][11][12][13][14][15][16][17][18]. These included six prospective and six retrospective studies published between 2010 and 2020.…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, some comparative studies reported that SDD patients had shorter operating time and were less likely to receive concomitant pelvic lymph node dissection during surgery [14]. However, at least 3 studies included in this review have included SDD patients undergoing systematic lymph node dissection [15,16,18]. In some studies, patients eligible for SDD should have no prior major pelvic or abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Mean operative time and blood loss were 138 min (range 77-198 min), and 137 ml (range 53-228 ml) respectively. Concomitant lymph node dissection was performed in 56.2% of patients, including three studies with lymph node dissection in all SDD patients [15,16,18]. Lymph node dissection was not performed in one study [12].…”

Section: Outcomes Of Interestmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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“…These outcomes of risk or volume of blood transfusion are compatible with the findings of previous studies. 12 , 13 , 32 The lack of differences in the blood transfusion volume among the 3 RP techniques may be due to the hospital volume effect. 6 In Taiwan, traditional ORP has been performed by highly experienced surgeons for many years, 5 , 6 , 33 which may have minimized the blood volume required for transfusion.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Acute and Chronic Surgical Complications Following Robot-Assisted, Laparoscopic, and Traditional Open Radical Prostatectomy Among Men in Taiwan

Chang

Chen

et al. 2021

JAMA Netw Open

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Key Points Question What are the acute and long-term procedure-specific complications associated with robot-assisted radical prostatectomy (RARP), laparoscopic radical prostatectomy (LRP), and open radical prostatectomy (ORP)? Findings In this cohort study of 1407 men undergoing RARP, ORP, or LRP, RARP was associated with fewer acute and chronic postoperative complications than ORP or LRP. Meaning The findings suggest that RARP may lead to fewer surgical complications than other RP approaches.

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“…Over the past 5 years, laparoscopic nephrectomies have been safely performed as outpatient surgeries in carefully selected patients, and outpatient models for prostatectomies have been promoted as safe and feasible [5,6]. We can expect this trend to continue, especially with the advent of single-port robotic surgery, and may see a growing proportion of same-day prostatectomies as compared to those discharged from postoperative observation within 24 h [7 ▪ ].…”

Section: Introductionmentioning

confidence: 99%

Trends in outpatient versus inpatient urologic surgery at a university academic medical center

Madhusoodanan

Carto

Parmar

et al. 2022

Current Opinion in Urology

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Purpose of reviewTo analyze trends in outpatient and inpatient urologic surgeries at a large university academic medical center and test the hypothesis that the proportion of outpatient surgeries has been increasing as compared to inpatient surgeries in urology. Recent findingsWe analyzed a total of 33,054 claims for urologic surgeries at a large university academic medical center from 2010 to 2020, of which 23.2% met inpatient criteria (n ¼ 7695), whereas 76.7% were outpatient (n ¼ 25,359). Although outpatient claims increased yearly by an average of 24%, inpatient claims increased yearly by an average of only 1%. Over the same period, Medicare-specific outpatient claims mirrored these trends, and Medicare-specific inpatient claims decreased.

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Outpatient Extraperitoneal Single-Port Robotic Radical Prostatectomy

Cited by 55 publications

References 18 publications

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

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

Comparison of Acute and Chronic Surgical Complications Following Robot-Assisted, Laparoscopic, and Traditional Open Radical Prostatectomy Among Men in Taiwan

Trends in outpatient versus inpatient urologic surgery at a university academic medical center

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