For a study, researchers sought to determine the feasibility and safety of same-day discharge surgery (SDD) after robot-assisted partial nephrectomy (RAPN) in patients with minor renal tumors.
A one-year observational, monocentric investigation was carried out. Inclusion criteria were a satisfactory performance status, a Charlson score of <5, a cT1a renal mass, and a RENAL score of <6. Coagulopathy or a contraindication to outpatient surgery are exclusion criteria. As the first case of the day, RAPN was done. Anesthesia protocols enabled the speedy recovery and hospital release. Patients were phoned one day after surgery to inquire about any early issues. Intraoperative adverse event categorization by the European Association of Urology and Clavien classifications 30- and 90-days post-surgery were used to document perioperative outcomes and complications. Follow-up appointments were conducted to gauge patient satisfaction. SDD failure, 30- and 90-day complications, and readmission rates were the primary outcomes. Descriptive data were presented without statistical comparison.
There were 20 patients (median age: 63 years [interquartile range: 57-64]). After a median of 350 minutes of observation, all patients were released home (interquartile range: 270-420). There was one grade 1 intraoperative complication recorded. Due to early problems within the first 30 days, two surgeries were followed by unanticipated readmission (1 pain and anxiety [Clavien I], one active bleeding requiring embolization [Clavien IIIa]). The vast majority of patients (85%) were pleased and would suggest day surgery to others. At 90 days, the SDD failure rate was 10%.
For some tumors and individuals, RAPN is a safe SDD technique with little perioperative morbidity.
Reference: goldjournal.net/article/S0090-4295(22)00262-X/fulltext
