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Home E-Weekly June 28, 2016

Outpatient Nephrectomy?

Published: June 27, 2016

Add another procedure to the list of those that can be done safely and effectively in outpatient settings. Researchers in Denmark have found that carefully selected patients who undergo laparoscopic nephrectomy needn't be hospitalized.

The study, which was published in the Journal of Urology involved 50 patients with a mean age of 59.8 years. Of those, 46 were discharged within 6 hours of surgery, and none of the 46 were readmitted within 30 days. Two developed infections, but both were successfully treated with oral antibiotics. The 4 patients who weren't discharged were admitted because of medication errors (2), fatigue and intestinal injury (1 each).

To be eligible, patients had to:

  • be between age 30 and 70,
  • be able to read and write,
  • have non-metastatic kidney cancer,
  • not have cardiac disease that would require intensive care or postoperative monitoring; and
  • have relatives at home for the first 24 hours after discharge.

"Our study demonstrates that outpatient nephrectomy may be done safely and does not require hospital readmission," say the authors, adding that more than 40% of candidates are likely to meet inclusion criteria.

Jim Burger

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