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Robotic-assisted partial nephrectomy (RAPN) can be safely performed as outpatient surgery for select patients with renal masses. This approach demonstrated comparable outcomes to inpatient procedures, with no complications or readmissions.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Renal masses are increasingly detected, often necessitating surgical intervention.
  • Partial nephrectomy is the gold standard for preserving renal function.
  • Robotic-assisted laparoscopic partial nephrectomy (RAPN) offers potential benefits in minimally invasive renal surgery.

Purpose of the Study:

  • To assess the feasibility and safety of outpatient robotic-assisted laparoscopic partial nephrectomy (RAPN) for renal masses.
  • To compare outcomes of ambulatory RAPN with inpatient RAPN.

Main Methods:

  • Retrospective analysis of 84 RAPNs performed by a single surgeon.
  • Comparison of 23 ambulatory RAPN cases with concurrent inpatient RAPN cases.
  • Statistical analysis using Fisher's exact test and Student's t test.

Main Results:

  • 27.4% of RAPNs were performed as outpatient procedures.
  • Ambulatory cases had significantly smaller tumor sizes (2.24 cm vs 3.65 cm) and shorter operative times (99.4 min vs 131.2 min).
  • No significant differences in readmission rates within 90 days were observed between groups.

Conclusions:

  • Robotic-assisted partial nephrectomy (RAPN) is a safe and feasible option for select patients undergoing outpatient surgery.
  • Ambulatory RAPN achieves comparable outcomes to inpatient procedures without increased complications or readmissions.