MP48-05 SAME-DAY DISCHARGE FOR ROBOTIC ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY IS SAFE AND RISING: AN ANALYSIS OF NSQIP DATABASE

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP48-05 SAME-DAY DISCHARGE FOR ROBOTIC ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY IS SAFE AND RISING: AN ANALYSIS OF NSQIP DATABASE Chris Du, Arshia Aalami Harandi, and David M. Golombos Chris DuChris Du More articles by this author , Arshia Aalami HarandiArshia Aalami Harandi More articles by this author , and David M. GolombosDavid M. Golombos More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003294.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robot assisted laparoscopic radical prostatectomy (RALRP) has demonstrated improved postoperative pain, decreased operative time, and shortened length of stay compared to the open approach. It is now the preferred approach for the surgical management of prostate cancer. Several institutions have shown the feasibility of performing same day discharge (SDD) RALRP. We sought to evaluate trends and assess the safety of SDD RALRP using the National Surgical Quality Improvement Program (NSPIQ) database. METHODS: Subjects were queried between 2012-2020 with CPT code 55866. Patients with a hospital stay of 0 days were defined as SDD RALRP and compared to patients with presumed uncomplicated course discharged postop day 1 or 2. The primary outcome of 30-day readmission rates was compared. SPSS v27.0 was used to perform statistical analysis between the two groups. RESULTS: We identified 65,648 RALRP cases meeting study criteria, of which 1,251 (1.9%) were SDD. There was a significant association of SDD RALRP performed recently (p<.01), with the majority (53.4%) performed in 2020. Significant demographic differences for SDD RALRP included age (61.9 vs 62.8 years, p<.01), smoking history (9.0% vs. 11.0%, p=03), Hispanic (8.0% vs. 5.5%, p<.01), and race (African 15.9% vs 13.7%, Asian 4.3% vs 3.1%, p<.01). SDD RALRP patients were less likely to have hypertension (48.0% vs 51.6%, p<.01). Significant perioperative variables included shorter operation time (183 vs. 202 mins, p<.01) and fewer Level 4 ASA class (0.3% vs. 0.7%, p<.01). Post-operatively, SDD RALRP was associated with fewer 30-day readmissions (2.6% vs 3.6%, p=.04). There were no significant differences in serious adverse events. CONCLUSIONS: In recent years, there has been a significant increase in patients undergoing SDD RALRP. It is associated with fewer 30-day readmissions and does not have increased life-threatening complications. With continued advances in robotic surgery, SDD RALRP is becoming a safe option in the surgical management of prostate cancer. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e656 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Chris Du More articles by this author Arshia Aalami Harandi More articles by this author David M. Golombos More articles by this author Expand All Advertisement PDF downloadLoading ...