Prospective Study of Ambulatory Robotic Radical Prostatectomy: Results at 40 months
Seance of wednesday 04 december 2019 (Communications libres)
DOI number : 10.26299/kz39-tm70/emem.2018.2.018
Abstract
Objective: To evaluate prospectively the feasability of Robotic Radical Prostatectomy in a half-day stay.
Method: Between March 2016 and October 2019, 240 Robotic Radical Prostatectomies were performed by the same team surgeon-anesthesiologist. 77 patients were included in a protocol for outpatient prostatectomy, after specific selection and information. All the interventions were performed with a specific Fast-Track recovery protocol. Discharge was authorized if the patient met the exit criteria according to the Chung score, after validation by the surgeon and the anesthesiologist. All the patients were called the day after surgery by the surgeon.
Results: All the RRP were performed in transperitoneal laparoscopy, with or without lymphadenectomy, and with or without nerve-sparing. 71/77 patients were discharged after less than 12 hours, 6 patients had to stay one night: 2 patients for administrative reasons, 4 patients for medical reasons. One patient was readmitted in the evening because of hematuria with obstruction of the bladder catheter, requiring simple desobstruction without surgical reintervention. No postoperative complications were reported. 69/71 patients called the day after were satisfied. Interviewed at D30, 69/71 would chose half-day stay if they had to do it again.
Conclusion: Half-day stay Robotic Radical Prostatectomy can be performed with selected and informed patients.
Method: Between March 2016 and October 2019, 240 Robotic Radical Prostatectomies were performed by the same team surgeon-anesthesiologist. 77 patients were included in a protocol for outpatient prostatectomy, after specific selection and information. All the interventions were performed with a specific Fast-Track recovery protocol. Discharge was authorized if the patient met the exit criteria according to the Chung score, after validation by the surgeon and the anesthesiologist. All the patients were called the day after surgery by the surgeon.
Results: All the RRP were performed in transperitoneal laparoscopy, with or without lymphadenectomy, and with or without nerve-sparing. 71/77 patients were discharged after less than 12 hours, 6 patients had to stay one night: 2 patients for administrative reasons, 4 patients for medical reasons. One patient was readmitted in the evening because of hematuria with obstruction of the bladder catheter, requiring simple desobstruction without surgical reintervention. No postoperative complications were reported. 69/71 patients called the day after were satisfied. Interviewed at D30, 69/71 would chose half-day stay if they had to do it again.
Conclusion: Half-day stay Robotic Radical Prostatectomy can be performed with selected and informed patients.