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Related Experiment Video

Updated: Dec 22, 2025

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Retzius-Sparing Robot-Assisted Radical Prostatectomy

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Multi-Institutional Assessment of Routine Same Day Discharge Surgery for Robot-Assisted Radical Prostatectomy.

Guillaume Ploussard1, Olivier Dumonceau2, Laurent Thomas3

  • 1Department of Urology, La Croix du Sud Hospital, Quint Fonsegrives, France.

The Journal of Urology
|May 8, 2020
PubMed
Summary

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Same day discharge for robot-assisted radical prostatectomy is safe across multiple institutions. Factors like blood loss and lymph node dissection impact discharge success, while pain influences readmission.

Area of Science:

  • Urology
  • Surgical Oncology
  • Health Services Research

Background:

  • Robot-assisted radical prostatectomy (RARP) is a common treatment for prostate cancer.
  • Same-day discharge (SDD) after major surgery is increasingly explored to improve efficiency and patient experience.

Purpose of the Study:

  • To assess the multi-institutional safety and feasibility of same-day discharge following RARP.
  • To identify factors associated with same-day discharge failure and 30-day readmission after RARP.

Main Methods:

  • A retrospective analysis of 358 patients undergoing planned SDD for RARP across 6 French centers.
  • Primary outcomes included SDD failure, 30-day complication, and readmission rates.
  • Secondary outcomes analyzed patient characteristics, operative parameters, pain scores, and pathological features.
Keywords:
enhanced recovery after surgeryoutpatientspostoperative complicationsprostatectomyprostatic neoplasms

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Main Results:

  • The overall rates for SDD failure, 30-day complications, and readmissions were 4.2%, 16.8%, and 2.8%, respectively.
  • Factors significantly correlated with SDD failure included blood loss, lymph node dissection, and pain visual analogue scale.
  • Pelvic lymph node dissection increased SDD failure risk (7.8% vs 1.5%). ASA score was linked to complications, and pain scores to readmission.

Conclusions:

  • This multi-institutional study confirms the safety of same-day discharge for RARP within a unified healthcare system.
  • Key factors influencing SDD success and readmission were identified, aiding in patient selection and postoperative care planning.