title: Are we ready for day-case partial nephrectomy?
abstract: Fast-track and day-case surgeries are gaining more and more importance. Their development was eased by the diffusion of minimal invasive surgical strategies and the consequential morbidity reduction. In the field of kidney cancer, seven cases of ambulatory radical nephrectomy were previously reported in the international literature. Regarding robotic partial nephrectomy (PN), short postoperative pathways resulting in patients' discharge on postoperative day 1 were shown to be safe and feasible. We report our initial experience of robot-assisted PN discharged on postoperative day zero and discuss the criteria for adequate patient selection. Indeed, outpatient PN will obviously not be suitable for all patients, and careful selection will be mandatory. Both specific baseline patient's factors and postoperative events will have to be recognized for the first ones and prevented for the second ones. Safety, patient satisfaction, cost efficiency, and reproducibility will be the key factors to assess and promote day-case PN.
authors.affiliation: Department of Urology and Kidney Transplant, CHU Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33076, Bordeaux, France. jcb31000@hotmail.com.|French Research Network on Kidney Cancer UroCCR, Bordeaux, France. jcb31000@hotmail.com.
authors.forename: Jean-Christophe
authors.initials: JC
authors.lastname: Bernhard
authors.affiliation: Anesthesiology Department, CHU Bordeaux, University of Bordeaux, Bordeaux, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Payan
authors.affiliation: Department of Urology and Kidney Transplant, CHU Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33076, Bordeaux, France.
authors.forename: Henri
authors.initials: H
authors.lastname: Bensadoun
authors.affiliation: French Research Network on Kidney Cancer UroCCR, Bordeaux, France.|Radiology Department, CHU Bordeaux, University of Bordeaux, Bordeaux, France.
authors.forename: François
authors.initials: F
authors.lastname: Cornelis
authors.affiliation: Department of Urology and Kidney Transplant, CHU Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33076, Bordeaux, France.
authors.forename: Grégory
authors.initials: G
authors.lastname: Pierquet
authors.affiliation: Department of Urology and Kidney Transplant, CHU Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33076, Bordeaux, France.
authors.forename: Gilles
authors.initials: G
authors.lastname: Pasticier
authors.affiliation: Department of Urology and Kidney Transplant, CHU Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33076, Bordeaux, France.
authors.forename: Grégoire
authors.initials: G
authors.lastname: Robert
authors.affiliation: Department of Urology and Kidney Transplant, CHU Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33076, Bordeaux, France.
authors.forename: Grégoire
authors.initials: G
authors.lastname: Capon
authors.affiliation: French Research Network on Kidney Cancer UroCCR, Bordeaux, France.|Medical Oncology Department, CHU Bordeaux, University of Bordeaux, Bordeaux, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Ravaud
authors.affiliation: Department of Urology and Kidney Transplant, CHU Bordeaux, University of Bordeaux, Place Amélie Raba Léon, 33076, Bordeaux, France.
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Ferriere
mesh_terms: D000556:Ambulatory Surgical Procedures; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D009392:Nephrectomy / Q000379:methods*
keywords: Day-case; Kidney cancer; Outpatient; Partial nephrectomy; Robotic assistance