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Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy

Robotic-assisted laparoscopic prostatectomy (RALP) is the gold standard for the surgical management of localized prostate cancer (PCa). Multi-institutional series have demonstrated complications and readmissions in less than 5% of patients and most are now discharged within 24 h of surgery. Recently...

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Autores principales: Kotamarti, Srinath, Williams, Thomas, Silver, Michael, Silver, David A., Schulman, Ariel A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer London 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322390/
https://www.ncbi.nlm.nih.gov/pubmed/32602024
http://dx.doi.org/10.1007/s11701-020-01115-1
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author Kotamarti, Srinath
Williams, Thomas
Silver, Michael
Silver, David A.
Schulman, Ariel A.
author_facet Kotamarti, Srinath
Williams, Thomas
Silver, Michael
Silver, David A.
Schulman, Ariel A.
author_sort Kotamarti, Srinath
collection PubMed
description Robotic-assisted laparoscopic prostatectomy (RALP) is the gold standard for the surgical management of localized prostate cancer (PCa). Multi-institutional series have demonstrated complications and readmissions in less than 5% of patients and most are now discharged within 24 h of surgery. Recently, several high-volume surgeons demonstrated the safety of same-day discharge (SDD) after RALP. The main benefits include lower costs and reduced exposure to nosocomial infections and hospital errors. The leading arguments for criticism include potential suboptimal postoperative care and the risk of missing a catastrophic event. In recent years, important advances have further strengthened the argument for SDD including more structured perioperative care, integration of single-port robotic systems, and new challenges presented by the coronavirus 2019 (COVID-19) pandemic. Here, we provide further evidence demonstrating the safety of SDD in a multi-institutional cohort of patients and review the main arguments supporting the expanded use of this approach.
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spelling pubmed-73223902020-06-29 Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy Kotamarti, Srinath Williams, Thomas Silver, Michael Silver, David A. Schulman, Ariel A. J Robot Surg Brief Communication Robotic-assisted laparoscopic prostatectomy (RALP) is the gold standard for the surgical management of localized prostate cancer (PCa). Multi-institutional series have demonstrated complications and readmissions in less than 5% of patients and most are now discharged within 24 h of surgery. Recently, several high-volume surgeons demonstrated the safety of same-day discharge (SDD) after RALP. The main benefits include lower costs and reduced exposure to nosocomial infections and hospital errors. The leading arguments for criticism include potential suboptimal postoperative care and the risk of missing a catastrophic event. In recent years, important advances have further strengthened the argument for SDD including more structured perioperative care, integration of single-port robotic systems, and new challenges presented by the coronavirus 2019 (COVID-19) pandemic. Here, we provide further evidence demonstrating the safety of SDD in a multi-institutional cohort of patients and review the main arguments supporting the expanded use of this approach. Springer London 2020-06-29 2020 /pmc/articles/PMC7322390/ /pubmed/32602024 http://dx.doi.org/10.1007/s11701-020-01115-1 Text en © Springer-Verlag London Ltd., part of Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Brief Communication
Kotamarti, Srinath
Williams, Thomas
Silver, Michael
Silver, David A.
Schulman, Ariel A.
Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy
title Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy
title_full Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy
title_fullStr Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy
title_full_unstemmed Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy
title_short Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy
title_sort rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy
topic Brief Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322390/
https://www.ncbi.nlm.nih.gov/pubmed/32602024
http://dx.doi.org/10.1007/s11701-020-01115-1
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