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Related Experiment Video

Updated: Jul 31, 2025

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Successful Same-Day Discharge for Robot-Assisted Radical Prostatectomy: A Systematic Review and Meta-Analysis.

Michael Uy1, Braden Millan1, Conor Jones2

  • 1Division of Urology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

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|May 5, 2023
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Summary

Same-day discharge (SDD) after robot-assisted radical prostatectomy (RARP) is safe and feasible. This approach offers significant cost savings and high patient satisfaction without increasing complications or readmissions.

Keywords:
ambulatory surgical proceduresoutpatientsprostatectomyrobotic surgical proceduressystematic review

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Area of Science:

  • Urology
  • Surgical Oncology
  • Health Services Research

Background:

  • Robot-assisted radical prostatectomy (RARP) is a standard treatment for prostate cancer.
  • Same-day discharge (SDD) following RARP is increasingly adopted.
  • Evidence comparing inpatient (IP) RARP with SDD RARP is needed.

Approach:

  • Systematic review and meta-analysis of 14 studies.
  • Pooled data from 3,795 patients (2,348 IP RARP, 1,447 SDD RARP).
  • Analysis of perioperative characteristics, complications, readmissions, satisfaction, and costs.

Key Points:

  • SDD RARP showed no significant differences in major complications (≥grade 3 Clavien-Dindo), 90-day readmissions, or emergency department visits compared to IP RARP.
  • Patient selection, perioperative recommendations, and postoperative management showed commonalities across SDD pathways.
  • Cost savings per patient ranged from $367 to $2,109.

Conclusions:

  • SDD following RARP is a safe and feasible option.
  • SDD RARP offers potential healthcare cost savings and high patient satisfaction.
  • Findings support broader implementation of SDD pathways in urological care.