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Kidney Transplant II: Surgical Procedure01:26

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Same day discharge after robot assisted partial nephrectomy.

Ronny Baqain1, Laith Baqain2, Sohrab Ali3

  • 1University of Manchester, Manchester, UK.

World Journal of Urology
|October 12, 2025
PubMed
Summary
This summary is machine-generated.

Same-day discharge after robotic assisted partial nephrectomy (RAPN) is safe for selected patients. Enhanced Recovery After Surgery (ERAS) protocols and minimally invasive techniques facilitate early recovery and reduce hospital stays.

Keywords:
Ambulatory surgical proceduresKidney tumorsMinimally invasive surgical proceduresNephron sparing surgeryPartial nephrectomyRenal carcinomaRobotics

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Robotic assisted partial nephrectomy (RAPN) is standard for small renal masses, balancing cancer control and renal function.
  • Same-day discharge (SDD) is increasingly explored to improve recovery and reduce costs post-RAPN.
  • This review examines evidence for SDD following RAPN, focusing on outcomes, patient selection, and surgical practices.

Purpose of the Study:

  • To evaluate the current evidence on same-day discharge (SDD) after robotic assisted partial nephrectomy (RAPN).
  • To assess perioperative outcomes, patient selection criteria, and evolving surgical practices for SDD post-RAPN.

Main Methods:

  • A literature search identified seven studies involving 485 patients undergoing SDD RAPN.
  • Analysis focused on complication rates, readmissions, and emergency department visits compared to inpatient cohorts.
  • The role of Enhanced Recovery After Surgery (ERAS) protocols and minimally invasive techniques was examined.

Main Results:

  • SDD after RAPN is feasible and safe, with outcomes comparable to inpatient care.
  • Complication, readmission, and emergency department visit rates were similar between SDD and inpatient groups.
  • ERAS protocols and minimally invasive approaches (single-port, retroperitoneal) aid early discharge by reducing pain and improving recovery.

Conclusions:

  • Same-day discharge (SDD) following robotic assisted partial nephrectomy (RAPN) is a safe and feasible option for carefully selected patients.
  • Wider adoption requires standardized pathways, refined patient selection, and further research.
  • Future efforts should focus on optimizing ERAS protocols and integrating telemedicine and wearable technologies.