Pushing the Envelope: Laparoscopic Nephrectomy as Outpatient Surgery

Abstract

Laparoscopic nephrectomy for patients who have kidney cancer can be performed as an outpatient surgery in well-selected, well-educated, and well-informed patients in a well-prepared hospital culture. Patient confidence, pain, and hospital culture are the most important limiting factors to the performance of laparoscopic nephrectomy as an outpatient procedure. Controlling these factors leads to a high success rate for the outpatient procedure.

Retroperitoneal Robotic Partial Nephrectomy: Systematic Review and Cumulative Analysis of Comparative Outcomes

“…Moreover, one can argue that postoperative hospital stay is not only depending on the surgical technique, and it can be influenced by factors other than preoperative parameters. In this regard, it has been shown that outpatient transperitoneal laparoscopic nephrectomy can be safely implemented in well informed and selected patient, given appropriate hospital setup 25 .…”

Empowerment-Based Education in Urological Patients: A Scoping Review

“…Eight reviews (Azawi et al, 2018; Bourke et al, 2015; Di Rollo et al, 2015; Faris et al, 2019; Hage & Lorensen, 2005; Kruzik, 2009; Parahoo et al, 2015; Simpson, 2015).…”

“…In men, the incidence of urological cancers appears to increase starting at middle age, peaking toward the end of life, whereas in women, this trend is less obvious (MacLennan et al, 2017). Consequently, urological procedures are not uncommon (Davies et al, 2015); active treatments, such as prostatectomy, nephrectomy, or cystectomy can have potentially negative effects and often cause urinary, bowel, and sexual side effects, which might contribute to reduced health-related quality-of-life (Azawi et al, 2018; Bourke et al, 2015; Parahoo et al, 2015; Parker et al, 2009; Song et al, 2012; Weinberg et al, 2012; Wootten et al, 2017).…”

“…On the other hand, lack of time for patient education and experienced overload were the major barriers experienced by nurses. • • Ten randomized controlled trials (Berry et al, 2013;Burkert et al, 2011;Chambers et al, 2019;Glazener et al, 2011;Hsiao et al, 2016;Parker et al, 2009;Penedo et al, 2006;Santa Mina et al, 2015;Weber et al, 2004;Wootten et al, 2017); • • Ten surveys (Bernhard et al, 2016;Davies et al, 2015;Pastore et al, 2017;Rankinen et al, 2007;Russo et al, 2013;Sahai et al, 2006;Song et al, 2012;Steginga et al, 2001;Thavarajah et al, 2015;Weinberg et al, 2012); • • Eight reviews (Azawi et al, 2018;Bourke et al, 2015;Di Rollo et al, 2015;Faris et al, 2019;Hage & Lorensen, 2005;Kruzik, 2009;Parahoo et al, 2015;Simpson, 2015). • • Six quasi experimental-study (Collin, 2015;Fagermoen & Hamilton, 2003;Gilts et al, 2013;Nazim et al, 2018;Paterson et al, 2019;Teishima et al, 2018); • • Two analytical studies (Abou-Haidar et al, 2014;Sugi et al, 2017); • • Three qualitative studies (Chang et al, 2004;Jerofke-Owen & Bull, 2018;…”

Medical disease and ambulatory surgery, new insights in patient selection based on medical disease

“…Recent articles have reported outpatient procedures in laparoscopic nephrectomy [27], colectomy [28], total hip and knee arthroplasty [29], and laparoscopic Heller myotomy [30]. Although outpatient procedures are theoretically the natural end consequence of a fully developed ERAS program, it should be emphasized that the concept is based on ‘first better - then faster’, and that safety, especially in high-risk patients, must be prioritized before focusing on length of stay [31 ▪ ].…”