title: Day case laparoscopic nephrectomy.
abstract: OBJECTIVE
  To report our initial experience with day case surgery (DS) laparoscopic nephrectomy (LN) and to assess its feasibility and safety.
  
  
  METHODS
  Twenty-six consecutive patients, planned for DS LN between January 2006 and December 2009 at a single urologic center, were enrolled in this retrospective observational study. Every patient underwent LN after a standard pathway of care for DS. We collected data regarding demographic information, medical comorbidities, preoperative and postoperative symptoms, admission as well as discharge time and date. The success rate of DS and reasons for unplanned overnight admission and readmission were collected and evaluated.
  
  
  RESULTS
  There were 12 (46.15%) women and 14 (53.84%) men with a median age of 46 years (range 11-77 y). The LN was on the left side in 15 (57.7%) patients and on the right side in 11 (42.3%) patients. Fifteen (57.7%) patients had benign diseases associated with nonfunctioning kidney and 11 (42.3%) patients had renal masses. The most common symptom was loin pain-53.3% for the patients with nonfunctioning kidneys; the majority of patients with tumors (45.6%) were asymptomatic. Twenty-two (84.61%) patients were successfully discharged the same day. Six (23.07%) patients were readmitted after surgery.
  
  
  CONCLUSIONS
  The DS LN is feasible and safe. We believe that the results should be easily reproducible. Increasing experience may help to develop more rigorous preoperative, intraoperative, and discharge criteria to increase the success rate and to decrease the readmission rate for DS LN.
authors.affiliation: Department of Urology, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania. dr.cristianilie@gmail.com
authors.forename: Cristian P
authors.initials: CP
authors.lastname: Ilie
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Luscombe
authors.forename: Ian
authors.initials: I
authors.lastname: Smith
authors.forename: Jane
authors.initials: J
authors.lastname: Boddy
authors.forename: Dan
authors.initials: D
authors.lastname: Mischianu
authors.forename: Anurag
authors.initials: A
authors.lastname: Golash
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D002648:Child; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D011182:Postoperative Care; D016896:Treatment Outcome; D055815:Young Adult