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

Autor: Saouli A; Department of Urology B, Ibn Sina Hospital, CHU Ibn Sina, Rabat, Morocco. Amine.saouli0@gmail.com.; Faculty of Medicine and Pharmacy, Mohammed V University, Souissi, Rabat, Morocco. Amine.saouli0@gmail.com., Rahota RG; Department of Urology, La Croix du Sud Hospital, Quint Fonsegrives, France., Ziouziou I; Department of Urology, University Hospital of Agadir, Agadir, Morocco., Elhouadfi O; Department of Urology B, Ibn Sina Hospital, CHU Ibn Sina, Rabat, Morocco.; Faculty of Medicine and Pharmacy, Mohammed V University, Souissi, Rabat, Morocco., Karmouni T; Department of Urology B, Ibn Sina Hospital, CHU Ibn Sina, Rabat, Morocco.; Faculty of Medicine and Pharmacy, Mohammed V University, Souissi, Rabat, Morocco., Elkhader K; Department of Urology B, Ibn Sina Hospital, CHU Ibn Sina, Rabat, Morocco.; Faculty of Medicine and Pharmacy, Mohammed V University, Souissi, Rabat, Morocco., Koutani A; Department of Urology B, Ibn Sina Hospital, CHU Ibn Sina, Rabat, Morocco.; Faculty of Medicine and Pharmacy, Mohammed V University, Souissi, Rabat, Morocco., Andalousi AIA; Department of Urology B, Ibn Sina Hospital, CHU Ibn Sina, Rabat, Morocco.; Faculty of Medicine and Pharmacy, Mohammed V University, Souissi, Rabat, Morocco., Ploussard G; Department of Urology, La Croix du Sud Hospital, Quint Fonsegrives, France.
Jazyk: angličtina
Zdroj: World journal of urology [World J Urol] 2022 Jun; Vol. 40 (6), pp. 1367-1375. Date of Electronic Publication: 2022 Feb 14.
DOI: 10.1007/s00345-022-03944-1
Abstrakt: 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.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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