Day‐case catheterless and drainless minimal‐access pyeloplasty in adults: A single‐center experience of 13 years
| Autor: | Megan Thomas, Christopher Luscombe, Vinodh Murali, Jack Donati-Bourne, Herman Fernando, Anurag Golash |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Pyeloplasty Urology Patient demographics medicine.medical_treatment Urethral Catheters 030232 urology & nephrology Controlled studies Single Center 03 medical and health sciences 0302 clinical medicine Patient age medicine Humans Kidney Pelvis Retrospective Studies business.industry Minimal access Retrospective cohort study Robotics Middle Aged Surgery Treatment Outcome 030220 oncology & carcinogenesis Urologic Surgical Procedures Laparoscopy business Ureteral Obstruction |
| Zdroj: | International Journal of Urology. 28:514-518 |
| ISSN: | 1442-2042 0919-8172 |
| Popis: | OBJECTIVES To analyze our practice of drainless and catheterless day-case minimal-access pyeloplasty with regard to feasibility, safety and long-term outcomes. METHODS Patients undergoing minimal-access pyeloplasty (laparoscopic, with or without robotic assistance) in a single center between 2007 and 2020 were included in this retrospective observational study. Patient demographics and the success rate of day-case discharge along with postoperative outcomes were analyzed. RESULTS A total of 129 patients underwent minimal-access pyeloplasty in this time period, of whom 116 met the inclusion criteria. The mean patient age was 48 years. A total of 65% of the patients (n = 75) were discharged on the same day and 88% (n = 101) were discharged within 23 h of surgery. Of the 14 patients with a hospital stay of >24 h, pain was the most common reason (60%) for delayed discharge. The overall subjective (pain-free status) and objective (unobstructed drainage) success rates were 91% and 86%, respectively. CONCLUSION This study demonstrates that routine drains or urethral catheters are not necessary in minimal-access pyeloplasty, and their omission could facilitate early recovery and day-case discharge without compromising long-term surgical outcomes. Large randomized controlled studies are required to prospectively evaluate outcomes. |
| Databáze: | OpenAIRE |
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