Same-day Discharge after Robotic Hysterectomy for Benign Conditions: Feasibility and Safety

Tannus, Samer; Giannini, Andrea; Magrina, Javier F.; Crosson, Jacque A.; Kosiorek, Heidi E.; Yi, Johnny; Butler, Kristina A.

doi:10.1016/j.jmig.2022.12.007

Cited by 5 publications

(5 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Diabetes (OR: 1.58; 95% CI: 1.09–2.27; I 2 = 0.0%; Figure 3D ), lung disease (OR: 1.95; 95% CI: 1.23–3.11; I 2 = 0.0%; Figure 3E ), cerebral vascular events (OR: 4.55; 95% CI: 2.26–9.14; I 2 = 0.0%; Figure 3F ), deep-vein thrombosis (OR: 4.04; 95% CI: 2.27–7.19; I 2 = 0.0%; Figure 3G ), and heart disease (OR: 2.01; 95% CI: 1.45–2.79; I 2 = 0.0%; Figure 3H ) were disadvantageous factors for SDD ( 16 , 18 , 22 , 24 ). Moreover, different American Society of Anesthesiologists physical status classification system (ASA) status, and hypertension were not predictive factors for SDD ( Figure 4F-I ) ( 5 , 25 , 31 ).…”

Section: Resultsmentioning

confidence: 97%

“…The meta-analysis revealed that an increase in age (OR: 1.03; 95% CI: 1.01–1.05; I 2 = 85.7%; Figure 3A ), BMI (OR: 1.02; 95% CI: 1.01–1.03; I 2 = 0.0%; Figure 3B ), and distance from home (OR: 1.01; 95% CI: 1.00–1.01; I 2 = 0.0%; Figure 3C ) were disadvantageous factors for SDD ( 5 , 7 , 19 – 21 , 23 , 26 , 27 , 31 ).…”

Section: Resultsmentioning

confidence: 99%

“…For non-malignant diseases, age (OR: 1.03; 95% CI: 1.02–1.05; I 2 = 0.0%; Figure 7D ) and intraoperative complications (OR: 2.07; 95% CI: 1.16–3.70; I 2 = 37.4%; Figure 7E ) were disadvantageous factors for SDD ( 26 , 28 – 31 ). Race (Black or White) (OR: 0.75; 95% CI: 0.30–1.90; I 2 = 67.0%; Figure 8K ), adhesiolysis (OR: 0.10; 95% CI: 0.00–8.83; I 2 = 83.9%; Figure 8L ), and length of surgery (OR: 1.78; 95% CI: 0.49–6.40; I 2 = 84.1%; Figure 8M ) did not affect SDD.…”

Section: Resultsmentioning

confidence: 99%

“…Thus, in the future, BMI may not be a contraindication for SDD in minimally invasive surgery ( 49 ). A cohort of studies revealed that comorbidities are unfavorable factors for SDD in minimally invasive hysterectomy ( 5 , 6 , 26 , 31 ). Ji et al.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Liu,

Chen,

Tan

et al. 2024

Front. Oncol.

View full text Add to dashboard Cite

ObjectiveTo explore the factors influencing the successful implementation of same-day discharge in patients undergoing minimally invasive hysterectomy for malignant and non-malignant gynecological diseases.MethodWe searched PubMed, Embase, Cochrane Central Register of Controlled Trials, International Clinical Trials Registry Platform, and Clinical Trials.gov from inception to May 23, 2023. We included case-control and cohort studies published in English reporting same-day discharge factors in patients undergoing minimally invasive hysterectomy for malignant and non-malignant gynecological diseases. STATA 16.0 was used for the meta-analysis. Risk factors were assessed using odds ratios (OR) (relative risk (RR)/hazard ratios (HR)) with 95% confidence intervals (CI), and logistic regression determined the same-day discharge rate (%).ResultsWe analyzed 29 studies with 218192 patients scheduled for or meeting same-day discharge criteria. The pooled rates were 50% (95% CI 0.46-0.55), and were similar for malignant and non-malignant gynecological diseases (48% and 47%, respectively). In terms of basic characteristics, an increase in age (OR: 1.03; 95% CI: 1.01–1.05), BMI (OR: 1.02; 95% CI: 1.01–1.03), and comorbidities including diabetes and lung disease were risk factors affecting SDD, while previous abdominal surgery history (OR: 1.54; 95% CI: 0.93–2.55) and hypertension (OR: 1.53; 95% CI: 0.80–2.93) appeared not to affect SDD. In terms of surgical characteristics, radical hysterectomy (OR: 3.46; 95% CI: 1.90–6.29), surgery starting after 14:00 (OR: 4.07; 95% CI: 1.36–12.17), longer surgical time (OR: 1.03; 95% CI: 1.01–1.06), intraoperative complications (OR: 4.68; 95% CI: 1.78–12.27), postoperative complications (OR: 3.97; 95% CI: 1.68–9.39), and surgeon preference (OR: 4.47; 95% CI: 2.08–9.60) were identified as risk factors. However, robotic surgery (OR: 0.44; 95% CI: 0.14–1.42) and intraoperative blood loss (OR: 1.16; 95% CI: 0.98–1.38) did not affect same-day discharge.ConclusionsAn increase in age, body mass index, and distance to home; certain comorbidities (e.g., diabetes, lung disease), radical hysterectomy, surgery starting after 14:00, longer surgical time, operative complications, and surgeon preference were risk factors preventing same-day discharge. Same-day discharge rates were similar between malignant and non-malignant gynecological diseases. The surgery start time and body mass index have a greater impact on same-day discharge for malignant diseases than non-malignant diseases.

show abstract

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Liu,

Chen,

Tan

et al. 2024

Front. Oncol.

View full text Add to dashboard Cite

show abstract

“…Furthermore, the high cost associated with the da Vinci robotic-assisted surgical system hinders the widespread adoption of robot-assisted vNOTES due to financial constraints. Although previous studies have reported the potential for robot-assisted hysterectomy as a day-care procedure [ 25 , 26 ]. Its implementation in China is still in the early exploration stage.…”

Section: Discussionmentioning

confidence: 99%

A retrospective analysis of robot-assisted total hysterectomy by transvaginal natural orifice transluminal endoscopic surgery

Xu,

Zhao,

Tian

et al. 2023

Heliyon

View full text Add to dashboard Cite

Minimally invasive hysterectomy same-day discharge: systematic review and meta-analysis of predictors

Dong,

Zheng,

Tan

et al. 2024

Arch Gynecol Obstet

View full text Add to dashboard Cite

Same-day Discharge after Robotic Hysterectomy for Benign Conditions: Feasibility and Safety

Cited by 5 publications

References 19 publications

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

A retrospective analysis of robot-assisted total hysterectomy by transvaginal natural orifice transluminal endoscopic surgery

Minimally invasive hysterectomy same-day discharge: systematic review and meta-analysis of predictors

Contact Info

Product

Resources

About