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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Factors Associated With Next-Day Discharge After Pulmonary Lobectomy.

Anuj Shah1, Ray Chihara1, Warren Naselsky1

  • 1Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, Houston, Texas.

Annals of Thoracic Surgery Short Reports
|December 22, 2025
PubMed
Summary
This summary is machine-generated.

Next-day discharge after pulmonary lobectomy is safe and feasible. Experienced surgeons using the da Vinci Xi robotic system significantly increase the likelihood of same-day discharge, improving patient outcomes.

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Lung cancer surgical treatment advancements necessitate focus on patient outcomes.
  • Optimizing recovery pathways post-pulmonary lobectomy is crucial.

Purpose of the Study:

  • To identify factors predicting same-day discharge after pulmonary lobectomy.
  • To evaluate the safety and predictors of early discharge post-lobectomy.

Main Methods:

  • Retrospective cohort study of 591 patients undergoing lobectomy.
  • Comparison of outcomes between next-day discharge and longer stays.
  • Logistic regression to identify predictors of next-day discharge.

Main Results:

  • 12% of patients were discharged the next day.
  • Next-day discharge associated with significantly fewer complications (6.9% vs 34.9%).
  • No difference in 30-day readmission or mortality rates.
  • Surgeon experience and da Vinci Xi robotic approach were independent predictors of next-day discharge.

Conclusions:

  • Next-day discharge after pulmonary lobectomy is safe.
  • Experienced surgeons and robotic approach (da Vinci Xi) enhance early discharge likelihood.
  • Robotic lobectomy experience can facilitate safe, same-day discharges.