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Outpatient Robotic Urological Surgery: An Evidence-based Analysis
Angelo Orsini1, Francesco Lasorsa2, Gabriele Bignante3
1Department of Urology, Rush University, Chicago, IL, USA; Department of Urology, D'Annunzio University of Chieti-Pescara, Chieti, Italy.
European Urology Focus
|October 20, 2024
Summary
Outpatient robotic urological surgery is safe and feasible, with single-port robotics enhancing same-day discharge rates. This approach can improve patient satisfaction and reduce healthcare costs for selected individuals.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Minimally invasive surgery offers shorter hospital stays, enabling outpatient procedures.
- Single-port (SP) robotics has intensified discussions regarding the viability of outpatient robotic urological surgery.
Purpose of the Study:
- To conduct an evidence-based analysis of the safety, feasibility, and benefits of robotic urological surgery in an outpatient (OP) setting.
Main Methods:
- A comprehensive literature search was performed on PubMed in June 2024.
- Studies were selected based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria and the PICO model.
- Data on patient characteristics, operative outcomes, same-day discharge (SDD), and complication/readmission rates were analyzed.
Main Results:
- Outpatient robotic urological surgery demonstrated feasibility and safety across various procedures, including radical prostatectomy, nephrectomy, and adrenalectomy.
- Same-day discharge rates were higher with SP robotics compared to multiport (MP) systems.
- Outpatient settings showed a lower risk of overall complications and readmissions compared to inpatient settings.
Conclusions:
- Robotic urological surgery in an outpatient setting is feasible and safe for selected patients, potentially increasing satisfaction and reducing costs.
- SP robotics may facilitate broader adoption of same-day discharge protocols.
- Careful patient selection is crucial for minimizing complications.
