OBJECTIVE: To assess the safety of hospital discharge 24hours after laparoscopic radical prostatectomy and to identify possible factors associated with longer hospital stays.
MATERIAL AND METHODS: Retrospective study of patients diagnosed with localized prostate cancer underwent to laparoscopic radical prostatectomy consecutively between May of 2007 and December of 2010. Those patients who met the following requirements were discharged in less than 24hours: absence of complications, drainage debit minor than 50cc, normal oral tolerance, no significant bladder haematuria and good functional recovery. Logistic regression analysis was conducted in order to assess the possible associated variables with longer hospital stays.
RESULTS: A total of 266 patients were analysed. The follow-up median was 34 months. Eighty patients (30.1%) were discharged in less than 24hours. Average stay (SD) of all series was 2.9 days (3.08). Solely HTA, neurovascular bundles sparing and the development of lymphadenectomy were statistically significant between both groups in univariate analysis (discharge< 24hours vs. discharge >24hours). In multivariate analysis, only HTA (OR=1.98 (CI 95%:1.13-3.47), P=.016) and lymphadenectomy performance (OR=2.56 (CI 95%:1.18-5.56) P=.017) were independent predictive variables of hospital stays longer than 24hours.
CONCLUSIONS: Early hospital discharge of patients underwent to LRP is feasible and safe. In our series, the lymphadenectomy performance and the HTA were associated factors to longer hospital stay.
Written by:
Díaz FJ, de la Peña E, Hernández V, López B, de La Morena JM, Martín MD, Jiménez-Valladolid I, Llorente C. Are you the author?
Servicio de Urología, Hospital Universitario Fundación Alcorcón, Madrid, España; Servicio de Medicina Preventiva, Hospital Universitario Fundación Alcorcón, Madrid, España.
Reference: Actas Urol Esp. 2014 Feb 13. pii: S0210-4806(14)00003-5.
doi: 10.1016/j.acuro.2013.12.004
PubMed Abstract
PMID: 24529540
Article in English, Spanish.
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