Introduction
The introduction of robotic-assisted laparoscopic prostatectomy (RALP) at the Royal Gwent Hospital has shown promising results in terms of surgical outcomes and post-operative recovery. This study explores the feasibility of same-day discharge following RALP, a key factor in improving patient experience and hospital efficiency.
Methods
Data was extracted from the Aneurin Bevan University Hospital (ABUHB) clinical workstation (CWS) and the operating room management information system (ORMIS) on patients who underwent RALP between June 2024 and February 2025.
Results
From June 4, 2024, to February 5, 2025, 39 patients underwent RALP. Of these, 18 patients (46.15%) were discharged on the same day, demonstrating the feasibility of same-day discharge. The remaining 21 patients (53.85%) stayed overnight, primarily due to logistical factors such as afternoon surgery schedules.
Surgical metrics revealed a median console time of 110 minutes (range: 62-252 minutes) and median blood loss of 200ml (range: 50-900ml). Most patients (69.2%) had a Gleason score of 7, with smaller groups having Gleason scores of 6 (17.9%), 8 (5.1%), and 9 (7.7%).
Conclusion
RALP can be safely performed as a day-case procedure, with 46.15% of patients discharged the same day and the remaining patients discharged within 24 hours. This approach reduces hospital stay lengths, alleviates bed occupancy pressures, and enhances operational efficiency. Additionally, it supports sustainability by minimizing energy consumption and waste. Patient satisfaction is high, with a preference for shorter recovery times. These findings suggest that RALP is a safe, effective, and sustainable alternative to traditional prostatectomy procedures.
Authors
Daniel Akintelure (Presenting)
Royal Gwent Hospital, Newport, United Kingdom
Jim Wilson
Royal Gwent Hospital, Newport, United Kingdom