Daycase Robotic Surgery- The Future for Cancer Care

Goonewardene SS
2016 Diversity and equality in health and care  
Robotic radical prostatectomy has a far lower complication rate when compared to laparoscopic or retro pubic prostatectomies [1] [2] [3] . Current clinical practice dictates patients are kept in hospital overnight. This is despite being first/second on the theatre list and being clinically stable at the end of the post-operative day. Post-operative clinical practice is often outlined by potential complications that can occur post-surgery. Several studies examine the complication rate of RALPs
more » ... -9]. These vary from 0.9% to 26.1%, depending on surgeon experience and number of cases. Complications range from minor UTIs/ retention to more major anastomotic leakage, bladder neck stenosis, when classified according to the Clavien system [10,11]. 6. Berryhill R Jr, Jhaveri J, Yadav R, et al. Robotic prostatectomy: a review of outcomes compared with laparoscopic and open approaches. Urology. 2008; 72:15-23. ABSTRACT Prostate cancer is one of the most common cancers in men. Radical robotic assisted laparoscopic prostatectomy (RALP) is the standard technique to treat localised prostate cancer. Standard operating procedure dictates an overnight admission. Yet the technique is minimally invasive and patients operated on early in the list with no complications are fit for discharge by that evening. We review the literature on Daycase prostatectomies. The majority of patients have no complications and complications that do occur are minor. Based on these results, a new follow-up protocol is developed for Daycase radical robotic laparoscopic prostatectomy.
doi:10.21767/2049-5471.100067 fatcat:o7xe766bv5bhhe4enonjh6efna