Several case series have demonstrated the safety and feasibility of outpatient robot-assisted radical prostatectomy (RARP) in well-selected patients; however, the patient perspective of this practice has not been well explored. In this study, we explored patients' perspectives on the potential barriers and benefits of outpatient RARP. We developed a multidimensional questionnaire to assess socioeconomic status, presence of caretaker at home, preferred transportation to the emergency room in case of chest pain or postsurgical complications, readiness for discharge at postanesthesia care unit (PACU), and potential barriers for discharge. In addition, patients were asked to provide an estimate of overnight hospitalization costs and their willingness to pay out-of-pocket expenses for their overnight stay. Patients who underwent RARP between August 1, 2018, and April 30, 2019, were asked to fill the questionnaire within the first week following their operation. During our study, 157/292 (53.8%) of men undergoing RARP from a single high-volume robotic surgeon completed the survey. Patients who completed <80% of the survey ( = 5) were excluded from the final analysis. Thirty-seven (24.3%) patients felt that they would have been ready for discharge immediately from PACU, and 48 (31.6%) patients after extended recovery and before midnight. Only 17.8% ( = 27) of the patients claim that they experienced a medical intervention in the hospital that could not have been managed at home. The main barriers for same-day discharge were pain (55.9%, 80/143), catheter discomfort (44.7%, 64/143), insufficient education about catheter care (31.4%, 45/143), postoperative nausea and vomiting (15.3%, 22/143), and medical complications (13.2%, 19/143). Two-thirds of patients following RARP did not feel ready to be discharged on the day of their surgery. Further research is necessary to identify patients who may benefit from this approach to reduce health care costs while minimizing patient postoperative morbidity.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1089/end.2019.0796 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Minimally invasive thymectomy for patients with thymoma: surgical, oncological and neurological outcomes.
Indian J Thorac Cardiovasc Surg
January 2025
Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Background: Traditionally, sternotomy has been the gold standard approach for the treatment of thymomas. However, interest in minimally invasive techniques such as video-assisted and robot-assisted thymectomy is gaining momentum. Concerns have been raised over the possibility of en-bloc resection using minimal access techniques due to limited working space and increased tumour manipulation leading to tumour breach and recurrence.
View Article and Find Full Text PDFWhat Patients Think About Robot-Assisted Surgery: Lessons to Learn from the Awareness and Perception Study in Mumbai.
J Obstet Gynaecol India
October 2024
Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra India.
Article Synopsis
- This study investigates patients' awareness and perceptions of robot-assisted surgery (RAS) to improve patient education and decision-making.
- A total of 262 patients from the Obstetrics & Gynaecology department completed questionnaires, revealing that familiarity with technology and prior experience with RAS significantly influenced their preferences for this surgical method.
- The findings emphasize the importance of clear patient counseling about robotic surgery, including its meaning, the surgeon's role, and the robot's appearance to counter misinformation and address any misconceptions.
Objectives: To assess the role of ultrasensitive PSA values (usPSA) after radical prostatectomy in predicting the subsequent biochemical recurrence (BCR).
Material And Methods: The study included 1836 patients who underwent open or robot-assisted RP at Turku University Hospital between 2003 and 2018. Exclusion criteria involved patients with adjuvant treatments and those who did not reach a PSA nadir <0.
Outpatient Robotic Urological Surgery: An Evidence-based Analysis.
Eur Urol Focus
October 2024
Department of Urology, Rush University, Chicago, IL, USA. Electronic address:
Article Synopsis
- Minimally invasive surgery offers shorter hospital stays, enabling the potential for outpatient (OP) procedures, especially with the introduction of single-port (SP) robotic techniques in urology.
- A literature review analyzed the safety and feasibility of OP robotic urological surgeries, revealing high same-day discharge rates and lower complication risks compared to inpatient procedures.
- Overall, the study concludes that outpatient robotic urological surgery is both feasible and safe for selected patients, with SP-RARP procedures showing even better outcomes than multiport options.
SAFE: Multi-institutional study of time to complications after robot-assisted partial nephrectomy, selection of a population eligible for outpatient management (UroCCR 90).
Fr J Urol
October 2024
Centre hospitalier universitaire de Nice, Nice, France. Electronic address:
Article Synopsis
- The study focused on the average 3-day hospital stay after robotic-assisted partial nephrectomy (RAPN) and aimed to identify which patients could safely undergo the procedure on an outpatient basis without significant complications.
- Researchers analyzed data from 3,342 patients who had RAPN between 2010 and 2021, finding that overall complications occurred in almost 15% of cases, with significant complications occurring in about 3.6%.
- Key risk factors for early significant complications within 72 hours post-surgery included longer clamping times and higher ASA scores, leading to the conclusion that patients with ASA scores greater than 2 and a clamping time under 20 minutes could be good candidates for outpatient surgery.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!