Same-day discharge surgery for robot-assisted radical prostatectomy in the era of ERAS and prehabilitation pathways: A contemporary, comparative, feasibility study
World Journal of Urology Feb 21, 2020
Ploussard G, Almeras C, Beauval JB, et al. - A contemporary, comparative, feasibility study was conducted to evaluate the feasibility of same-day discharge (SDD) after robot-assisted radical prostatectomy (RARP) in the context of enhanced recovery after surgery (ERAS) and prehabilitation pathways. Researchers prospectively evaluated the feasibility of SDD RARP in the context of ERAS and prehabilitation pathways for 1 year. SDD individuals were correlated to overnight individuals operated during the same period by the same surgeon. Primary endpoints included complications and 90-day readmission rates. Results of this study indicated that implementation of SDD RARP in the context of ERAS and prehabilitation pathways is safe, reduces cost and does not compromise the post-operative course. At the end of the study period, proportion of patients undergoing SDD continuously increased to reach 60% of the surgeon cohort. The trend implying a faster continence recovery after SDD has to be established in a larger cohort.
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