{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:31:44Z","timestamp":1786649504624,"version":"build-2736575974"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Robot-assisted radical prostatectomy (RP) or partial nephrectomy (PN) is often a daycare or overnight procedure in developed countries. This study assesses the safety and feasibility of discharging patients within 23 h after surgery in a developing country.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective cohort study examined patients who underwent RP and PN between June 2022 and December 2023. We analyzed the clinical-pathological profiles of patients discharged within 23 h after surgery versus later. A single surgeon performed all surgeries, and an early recovery protocol was practiced.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Out of 71 PN patients, 62 (87.3%) were discharged within 23 h (of which, nine were discharged the same evening); the median stay for others was 3 days. Four patients had complications that delayed discharge, and one required readmission. Among 28 RP patients, 20 (71.5%) were discharged within 23 h; the median stay for others was 3 days. Two patients with complications had delayed discharge. There were no 30-day readmissions in the RP cohort. Factors such as comorbidities, American Society of Anesthesiologists grade, and tumor staging did not predict discharge timing in either the RP or PN cohort. Furthermore, none required blood transfusions or conversion to open surgical procedures, and there were no recorded fatalities in either cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Twenty-three-hour discharge following robot-assisted RP and PN demonstrated both safety and feasibility in a developing country, which is contingent upon the implementation of an early recovery protocol in a tertiary or quaternary care setting. Effective preoperative counseling and interdepartmental communication are essential for success.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/iju.iju_496_24","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T18:00:39Z","timestamp":1751392839000},"page":"195-203","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Is 23-h discharge following robotic radical prostatectomy and partial nephrectomy feasible and safe in a quaternary care center in a developing country?"],"prefix":"10.4103","volume":"41","author":[{"given":"Madhuri Evangeline","family":"Sadanala","sequence":"first","affiliation":[{"name":"Department of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun Jacob Philip","family":"George","sequence":"additional","affiliation":[{"name":"Department of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Partho","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Department of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thampi J.","family":"Nirmal","sequence":"additional","affiliation":[{"name":"Department of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"R2-20260427","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1007\/s00345-020-03283-z","article-title":"Day-case robotic-assisted partial nephrectomy: Feasibility and preliminary results of a prospective evaluation (UroCCR-25 AMBU-REIN study)","volume":"40","author":"Bernhard","year":"2022","journal-title":"World J Urol"},{"key":"R3-20260427","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s00345-022-04204-y","article-title":"Feasibility and safety of same-day discharge following single-port robotic-assisted laparoscopic prostatectomy","volume":"41","author":"Balasubramanian","year":"2023","journal-title":"World J Urol"},{"key":"R4-20260427","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.urology.2012.08.067","article-title":"A single overnight stay is possible for most patients undergoing robotic partial nephrectomy","volume":"81","author":"Abaza","year":"2013","journal-title":"Urology"},{"key":"R5-20260427","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1097\/JU.0000000000000353","article-title":"Same day discharge after robotic radical prostatectomy","volume":"202","author":"Abaza","year":"2019","journal-title":"J Urol"},{"key":"R6-20260427","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1111\/ans.18198","article-title":"Same day discharge for robot-assisted radical prostatectomy: A prospective cohort study documenting an Australian approach","volume":"93","author":"Mulholland","year":"2023","journal-title":"ANZ J Surg"},{"key":"R7-20260427","doi-asserted-by":"crossref","first-page":"661","DOI":"10.3390\/jcm10040661","article-title":"Same day discharge versus inpatient surgery for robot-assisted radical prostatectomy: A comparative study","volume":"10","author":"Rahota","year":"2021","journal-title":"J Clin Med"},{"key":"R8-20260427","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1089\/end.2022.0510","article-title":"Same-day discharge after robot-assisted partial nephrectomy: Is it worth it?","volume":"37","author":"Wood","year":"2023","journal-title":"J Endourol"},{"key":"R10-20260427","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1089\/end.2021.0730","article-title":"Same-day discharge protocol for robot-assisted radical prostatectomy: Experience of a high-volume referral center","volume":"36","author":"Reddy","year":"2022","journal-title":"J Endourol"},{"key":"R11-20260427","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1111\/bju.16002","article-title":"Same-day discharge robot-assisted laparoscopic prostatectomy: Feasibility, safety and patient experience","volume":"132","author":"Hill","year":"2023","journal-title":"BJU Int"},{"key":"R13-20260427","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.euros.2021.12.002","article-title":"Same-day-discharge robot-assisted radical prostatectomy: An annual countrywide analysis","volume":"36","author":"Ploussard","year":"2022","journal-title":"Eur Urol Open Sci"},{"key":"R14-20260427","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1186\/s12894-023-01318-2","article-title":"Patient\u2019s safety and satisfaction on same day discharge after robotic and laparoscopic radical prostatectomy versus discharge after 24 or 48 h: A longitudinal randomized prospective study","volume":"23","author":"Faria","year":"2023","journal-title":"BMC Urol"},{"key":"R15-20260427","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.urology.2022.03.021","article-title":"Preliminary outcomes after same day discharge protocol for robot-assisted partial nephrectomy: A single Centre experience","volume":"164","author":"Benamran","year":"2022","journal-title":"Urology"},{"key":"R16-20260427","first-page":"471","article-title":"Progressing towards same-day discharges after robotic-assisted radical prostatectomy; safe and cost effective to discharge without routine blood tests","volume":"15","author":"Chislett","year":"2023","journal-title":"Res Rep Urol"},{"key":"R17-20260427","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1038\/nrneph.2009.153","article-title":"Kidney disease: Improving global outcomes","volume":"5","author":"Eckardt","year":"2009","journal-title":"Nat Rev Nephrol"},{"key":"R18-20260427","doi-asserted-by":"crossref","first-page":"53","DOI":"10.4097\/kja.d.18.00224","article-title":"Assignment of ASA-physical status relates to anesthesiologists\u2019 experience: A survey-based national-study","volume":"72","author":"De Cassai","year":"2019","journal-title":"Korean J Anesthesiol"},{"key":"R19-20260427","doi-asserted-by":"crossref","first-page":"m2917","DOI":"10.1136\/bmj.m2917","article-title":"Prospective validation of classification of intraoperative adverse events (ClassIntra): International, multicentre cohort study","volume":"370","author":"Dell-Kuster","year":"2020","journal-title":"BMJ"},{"key":"R20-20260427","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: A new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"R21-20260427","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1007\/s00292-016-0171-y","article-title":"The WHO\/ISUP grading system for renal carcinoma","volume":"37","author":"Moch","year":"2016","journal-title":"Pathologe"},{"key":"R22-20260427","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1016\/j.juro.2009.05.035","article-title":"The R.E.N.A.L. Nephrometry score: A comprehensive standardized system for quantitating renal tumor size, location and depth","volume":"182","author":"Kutikov","year":"2009","journal-title":"J Urol"},{"key":"R23-20260427","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/S0090-4295(94)80260-2","article-title":"Prospective evaluation of prostate-specific antigen density and systematic biopsies for early detection of prostatic carcinoma","volume":"43","author":"Bazinet","year":"1994","journal-title":"Urology"},{"key":"R25-20260427","doi-asserted-by":"crossref","first-page":"113","DOI":"10.23736\/S0393-2249.19.03391-5","article-title":"Robot-assisted versus open partial nephrectomy: Comparison of outcomes. A systematic review","volume":"71","author":"Grivas","year":"2019","journal-title":"Minerva Urol Nefrol"},{"key":"R26-20260427","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1089\/end.2019.0218","article-title":"A single overnight stay after robotic partial nephrectomy does not increase complications","volume":"33","author":"Sentell","year":"2019","journal-title":"J Endourol"},{"key":"R27-20260427","first-page":"773","article-title":"Single overnight stay after robot-assisted partial nephrectomy: A bi-center experience","volume":"73","author":"Carbonara","year":"2021","journal-title":"Minerva Urol Nephrol"},{"key":"R28-20260427","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.urology.2009.08.085","article-title":"Outpatient prostatectomy: Too much too soon or just what the patient ordered","volume":"75","author":"Martin","year":"2010","journal-title":"Urology"},{"key":"R29-20260427","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1007\/s11701-018-0848-8","article-title":"Safety and feasibility of outpatient robot-assisted radical prostatectomy","volume":"13","author":"Banapour","year":"2019","journal-title":"J Robot Surg"},{"key":"R30-20260427","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1089\/end.2016.0552","article-title":"Same-day discharge for patients undergoing robot-assisted laparoscopic radical prostatectomy is safe and feasible: Results of a pilot study","volume":"30","author":"Wolboldt","year":"2016","journal-title":"J Endourol"},{"key":"R31-20260427","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1007\/s00345-022-03944-1","article-title":"Safety and feasibility of same-day discharge laparoscopic radical prostatectomy: A systematic review","volume":"40","author":"Saouli","year":"2022","journal-title":"World J Urol"},{"key":"R33-20260427","doi-asserted-by":"crossref","first-page":"30","DOI":"10.5152\/tud.2020.20414","article-title":"Day-case robot-assisted laparoscopic surgery: Feasibility and safety","volume":"47","author":"Ragavan","year":"2021","journal-title":"Turk J Urol"},{"key":"R34-20260427","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1089\/end.2019.0796","article-title":"Outpatient robot-assisted radical prostatectomy: Are patients ready for same-day discharge?","volume":"34","author":"Dobbs","year":"2020","journal-title":"J Endourol"},{"key":"R35-20260427","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1016\/j.euf.2020.10.006","article-title":"Pure single-site robot-assisted radical prostatectomy using single-port versus multiport robotic radical prostatectomy: A single-institution comparative study","volume":"7","author":"Lenfant","year":"2021","journal-title":"Eur Urol Focus"},{"key":"R36-20260427","doi-asserted-by":"crossref","first-page":"17562872231172834","DOI":"10.1177\/17562872231172834","article-title":"Single-port robotic partial nephrectomy: Impact on perioperative outcomes and hospital stay","volume":"15","author":"Carbonara","year":"2023","journal-title":"Ther Adv Urol"},{"key":"R37-20260427","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.urology.2020.08.092","article-title":"Single-port robotic surgery allows same-day discharge in majority of cases","volume":"148","author":"Abaza","year":"2021","journal-title":"Urology"},{"key":"R38-20260427","doi-asserted-by":"crossref","first-page":"108011","DOI":"10.1016\/j.ejso.2024.108011","article-title":"Single-port versus multi-port robot-assisted partial nephrectomy: A single center propensity score-matched analysis","volume":"50","author":"Licari","year":"2024","journal-title":"Eur J Surg Oncol"},{"key":"R39-20260427","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1186\/s12871-024-02460-6","article-title":"Analgesic effect of the ultrasound-guided thoracolumbar paravertebral block in patients undergoing robot-assisted laparoscopic nephrectomy: A randomized controlled trial","volume":"24","author":"Yin","year":"2024","journal-title":"BMC Anesthesiol"},{"key":"R40-20260427","doi-asserted-by":"crossref","first-page":"e127911","DOI":"10.5812\/aapm-127911","article-title":"Current strategies in pain regimens for robotic urologic surgery: A comprehensive review","volume":"12","author":"Khater","year":"2022","journal-title":"Anesth Pain Med"}],"container-title":["Indian Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_496_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:54:51Z","timestamp":1786647291000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_496_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/iju.iju_496_24","relation":{},"ISSN":["0970-1591","1998-3824"],"issn-type":[{"value":"0970-1591","type":"print"},{"value":"1998-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2024-12-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}