title: Routine day-case laparoscopic pyeloplasty: a paradigm shift?
abstract: OBJECTIVE
  To determine whether day-case surgery (DS) laparoscopic pyeloplasty (LP) is feasible and safe.
  
  
  METHODS
  Thirty-two consecutive patients, planned for DS LP between March 2006 and January 2010 at a single urologic center, were enrolled in this retrospective observational study. Every patient underwent LP after a standard pathway of care for DS. We collected demographic and medical information, including renographic data. The success rate of DS and reasons for unplanned overnight admission and readmission were collected and evaluated.
  
  
  RESULTS
  There were 20 (62.5%) females and 12 (37.5%) males with a median age of 37 years (range 11 to 69 y). The pelviureteral junction obstruction was on the left side in 19 (59.3%) patients and on the right side in 13 (40.6%) patients. The most common symptom was loin pain (68.75%). The majority of patients were classified according to their physical status as American Society of Anesthesiologists (ASA) 1 (59.37%), ASA 2 (37.5%), and only one patient (3.1%) as ASA 3. Surgical time varied from 90 to 210 minutes (mean 148.9 min, standard deviation 34.70). Twenty-five (78.12%) patients were successfully discharged on the same day. Two (6.25%) patients were readmitted after surgery. On follow-up renography, 96.15% had improved drainage. This is a small retrospective study reporting initial experience.
  
  
  CONCLUSIONS
  The DS LP is feasible and safe. To improve the success rate and to decrease the readmission rate, objective preoperative, intraoperative, and discharge criteria should be developed for DS and validated in randomized studies.
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 / Q000379:methods*; D016063:Blood Loss, Surgical; D002648:Child; D003710:Demography; D005260:Female; D006801:Humans; D007297:Inpatients; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods*; D055815:Young Adult