title: Feasibility and safety of same-day discharge after minimally invasive hysterectomy in gynecologic oncology: A systematic review of the literature.
abstract: OBJECTIVE
  To compare same-day discharge (SDD) versus traditional admission to the hospital following minimally invasive hysterectomy (conventional laparoscopy and robotic assisted laparoscopy) for the treatment of gynecologic malignancies.
  
  
  METHODS
  A systematic review was conducted in which MEDLINE and Cochrane Center Register of Controlled Trials were searched using terms related to same-day discharge, outpatient, and hysterectomy. We reviewed published English language trials and studies that compared safety, feasibility, readmission rate, emergency department (ED) visits, complication rate, and associated risk factors for admission. Studies of any design that included at least 20 patients who underwent minimally invasive hysterectomy (conventional laparoscopy and robotic laparoscopy) for gynecologic oncology indications were included.
  
  
  RESULTS
  The literature review yielded 421 citations, of which 27 full-text articles were reviewed. Six comparative studies met eligibility criteria. Study data were abstracted and inputted into structural electronic forms.
  
  
  CONCLUSIONS
  Our results suggest that in comparison to admission post minimally invasive hysterectomy with or without full staging, SDD in gynecologic oncology procedures is safe, and feasible. It is associated with low complication and readmissions rates, few visits, and low rates of unscheduled visits within the follow up period of two to six weeks after surgery.
authors.affiliation: Department of Gynecologic Oncology, University of California Riverside, Gynecologic Oncology Department, 14350-2 Meridian Parkway, Riverside, CA 92518, United States. Electronic address: Samar.nahas@medsch.ucr.edu.
authors.forename: Samar
authors.initials: S
authors.lastname: Nahas
authors.affiliation: Department of Gynecology Oncology, University of Toronto, Trillium Health Partners, Credit Valley Hospital, 2200 Eglinton Ave W, Mississauga, ON L5M2N1, Canada.
authors.forename: Tomer
authors.initials: T
authors.lastname: Feigenberg
authors.affiliation: Department of Gynecologic Oncology, University of California Riverside, Gynecologic Oncology Department, 14350-2 Meridian Parkway, Riverside, CA 92518, United States.
authors.forename: Susan
authors.initials: S
authors.lastname: Park
mesh_terms: D000556:Ambulatory Surgical Procedures; D004636:Emergency Service, Hospital; D005240:Feasibility Studies; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*
keywords: Gynecologic malignancy outpatient; Gynecologic oncology; Hysterectomy; Laparoscopic; Minimal invasive staging; Robotic; Same-day discharge