Are we ready for day-case partial nephrectomy?

被引:15
作者
Bernhard, Jean-Christophe [1 ,2 ]
Payan, Anne [3 ]
Bensadoun, Henri [1 ]
Cornelis, Francois [2 ,4 ]
Pierquet, Gregory [1 ]
Pasticier, Gilles [1 ]
Robert, Gregoire [1 ]
Capon, Gregoire [1 ]
Ravaud, Alain [2 ,5 ]
Ferriere, Jean-Marie [1 ]
机构
[1] Univ Bordeaux, CHU Bordeaux, Dept Urol & Kidney Transplant, Pl Amelie Raba Leon, F-33076 Bordeaux, France
[2] French Res Network Kidney Canc UroCCR, Bordeaux, France
[3] Univ Bordeaux, CHU Bordeaux, Dept Anesthesiol, Bordeaux, France
[4] Univ Bordeaux, CHU Bordeaux, Dept Radiol, Bordeaux, France
[5] Univ Bordeaux, CHU Bordeaux, Dept Med Oncol, Bordeaux, France
关键词
Kidney cancer; Day-case; Partial nephrectomy; Outpatient; Robotic assistance; CASE LAPAROSCOPIC NEPHRECTOMY; ROBOTIC PARTIAL NEPHRECTOMY; READMISSION; QUALITY; PROGRAM; PATHWAY; QOR-40;
D O I
10.1007/s00345-015-1746-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Fast-track and day-case surgeries are gaining more and more importance. Their development was eased by the diffusion of minimal invasive surgical strategies and the consequential morbidity reduction. In the field of kidney cancer, seven cases of ambulatory radical nephrectomy were previously reported in the international literature. Regarding robotic partial nephrectomy (PN), short postoperative pathways resulting in patients' discharge on postoperative day 1 were shown to be safe and feasible. We report our initial experience of robot-assisted PN discharged on postoperative day zero and discuss the criteria for adequate patient selection. Indeed, outpatient PN will obviously not be suitable for all patients, and careful selection will be mandatory. Both specific baseline patient's factors and postoperative events will have to be recognized for the first ones and prevented for the second ones. Safety, patient satisfaction, cost efficiency, and reproducibility will be the key factors to assess and promote day-case PN.
引用
收藏
页码:883 / 887
页数:5
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