[Fast-track laparoscopic radical prostatectomy].
BACKGROUND
Fast-track surgery describes perioperative treatment concepts ensuring a faster postoperative convalescence phase. By using a multimodal fast-track concept in patients undergoing laparoscopic radical prostatectomy, we aimed to investigate the feasibility of this procedure after elective surgery and a possible discharge 3 days postoperatively.


METHODS
Twenty-five patients per group were randomized for conventional or fast-track treatment, respectively. Perioperative data, early complications, possible hospital discharge, and readmission rate were analyzed. Before hospital discharge, all patients were interviewed about their evaluation of the received regimen and their overall satisfaction perioperatively.


RESULTS
The mean postoperative hospital stay was 3.6 days in the fast-track group vs. 6.7 days in the conventional group (p<0.01). Overall complications were low but were significant between the two groups, with the fast-track procedure being more favorable. Readmission rate was also low but was not significant. Overall satisfaction was significantly higher in the fast-track group, whereas the subjective evaluation did not differ between the two regimens.


CONCLUSIONS
Fast-track concepts are well transferable in laparoscopic radical prostatectomy settings. Patients receiving this procedure, as well as clinics offering it, may benefit from a suitable fast-track concept.
Gralla
O
O
Klinik für Urologie, Klinikum der Universität zu Köln, Kerpener Strasse 62, Köln, Germany. oliver.gralla@uk-koeln.de
Buchser
M
M
Haas
F
F
Anders
E
E
Kramer
J
J
Lein
M
M
Knoll
N
N
Roigas
J
J
D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000295:instrumentation* / Q000379:methods*; D016896:Treatment Outcome