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Updated: Dec 17, 2025

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy.

Srinath Kotamarti1, Thomas Williams2, Michael Silver1,3

  • 1Maimonides Medical Center, 745 64th St. 4th Floor, Brooklyn, NY, 11220, USA.

Journal of Robotic Surgery
|July 1, 2020
PubMed
Summary

Same-day discharge (SDD) after robotic-assisted laparoscopic prostatectomy (RALP) is safe for prostate cancer (PCa) patients. This approach offers benefits like reduced costs and infection risk, supported by new evidence.

Keywords:
Prostate cancerRadical prostatectomyRobotic surgerySame-day discharge

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Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Robotic-assisted laparoscopic prostatectomy (RALP) is the standard surgical treatment for localized prostate cancer (PCa).
  • Current practice often involves 24-hour hospital discharge, with low complication and readmission rates (<5%).
  • Recent studies and advancements support the feasibility of same-day discharge (SDD) post-RALP.

Purpose of the Study:

  • To provide evidence for the safety and efficacy of same-day discharge (SDD) following robotic-assisted laparoscopic prostatectomy (RALP).
  • To review the arguments supporting the expanded adoption of SDD in prostate cancer care.
  • To highlight the benefits of SDD, including cost reduction and decreased nosocomial infection exposure.

Main Methods:

  • Analysis of a multi-institutional patient cohort undergoing RALP.
  • Review of recent advancements in perioperative care and robotic surgical systems.
  • Evaluation of arguments for and against SDD, considering factors like the COVID-19 pandemic.

Main Results:

  • Demonstrated safety of SDD in a multi-institutional setting for RALP patients.
  • Identified benefits such as lower healthcare costs and reduced risk of hospital-acquired infections.
  • Addressed concerns regarding postoperative care and the potential for undetected complications.

Conclusions:

  • Same-day discharge (SDD) is a safe and beneficial approach for select patients undergoing robotic-assisted laparoscopic prostatectomy (RALP).
  • Structured perioperative care, technological advancements, and evolving healthcare challenges support the expansion of SDD.
  • Further evidence supports the wider implementation of SDD to improve patient outcomes and healthcare efficiency.