One hospital night OK for robotic partial nephrectomy

One hospital night OK for robotic partial nephrectomy
Regardless of surgical complexity, most patients undergoing robotic partial nephrectomy can be discharged in one day, according to a study published in the February issue of Urology.

(HealthDay)—Regardless of surgical complexity, most patients undergoing robotic partial nephrectomy (RPN) can be discharged in one day, according to a study published in the February issue of Urology.

Following development of a targeting discharge on postoperative day one (POD 1) following RPN of any complexity, Ronney Abaza, M.D., and Ketul Shah, M.D., from The Ohio State University in Columbus, reviewed all 160 RPNs in 150 patients since institution of the pathway.

The researchers found that 35 of the patients had hilar tumors, 26 had segmental, and 33 had no artery clamping. Eight patients underwent multiple RPNs and three patients had solitary kidneys. The mean patient age was 57 years, mean was 32 kg/m², mean was 3.6 cm, and the radius, exophytic/endophytic, nearness to collecting system, anterior/posterior, and location (RENAL) nephrometry score was 8. The mean preoperative creatinine levels were 0.9 mg/dL and the discharge levels were 1.13 mg/dL. All patients ambulated on the day of surgery. Only one patient needed one dose of intravenous narcotic. Ninety-seven percent of patients were discharged on POD 1, with the mean length of stay being 1.1 days. Only 2.7 percent of patients were readmitted within 30 days.

"Discharge on POD 1 is feasible in most patients after RPN, without increased complications, and may represent an advantage over if such a clinical pathway is applied," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

R.E.N.A.L. nephrometry score predicts treatment efficacy

Dec 27, 2012

(HealthDay)—The R.E.N.A.L. (radius, exophytic/endophytic, nearness to collecting system or sinus, anterior/posterior and location relative to polar lines) nephrometry scoring system predicts the efficacy ...

Recommended for you

An alternative for pain control after knee replacement surgery

25 minutes ago

It's estimated that more than half of adults in the United States diagnosed with knee osteoarthritis will undergo knee replacement surgery. While improvements in implantable devices and surgical technique has made the procedure ...

Limit imaging scans for headache? Neurosurgeons raise concerns

41 minutes ago

Recent guidelines seeking to reduce the use of neuroimaging tests for patients with headaches run the risk of missing or delaying the diagnosis of brain tumors, according to a special article in the January issue of Neurosurgery, offici ...

Pre-op opioid use tied to higher post-op dependence

Dec 15, 2014

(HealthDay)—Greater preoperative opioid use predicts increased immediate postoperative opioid demand and decreased incidence of postoperative opioid independence among spine surgery patients, according ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.