Journal article
Single-port robotic-assisted simple prostatectomy is associated with decreased post-operative narcotic use in a propensity score matched analysis
Journal of robotic surgery, Vol.16(2), pp.295-300
04/2022
DOI: 10.1007/s11701-021-01236-1
PMID: 33837950
Abstract
Robotic-assisted simple prostatectomy (RASP) has proven to be an effective minimally invasive option for benign prostatic enlargement (BPE) in recent years. Single-site surgery is theorized to reduce post-operative pain beyond traditional minimally invasive approaches. We sought to assess whether use of a single-port robotic platform decreases post-operative opioid use in patients undergoing robotic-assisted simple prostatectomy (RASP). A retrospective review was performed of all patients undergoing RASP our institution from November 2017 to July 2019. Demographic, intraoperative, and post-operative data, including morphine equivalent (ME) use, were collected. Patients were stratified by robotic platform utilized. Propensity score matching using nearest neighbor method was performed using prostate volume, Charlson comorbidity index (CCI), and post-op ketorolac use in 4:1 fashion. Chi-squared analysis and Kruskal-Wallis analyses were utilized. Two-hundred-and-seven men underwent RASP. After matching, 80 patients (64 multi-port, 16 single-port) were included in the analysis. Groups were comparable for age, body mass index, CCI, prostate volume, prior opioid use, and use of scheduled ketorolac post op. The single-port approach was associated with a reduction in MEs once admitted to the floor (5 vs. 11 mg, p = 0.025) and an increase in the proportion of patients who did not require any narcotics post-operatively (44 vs. 19%, p = 0.036). In a propensity matched cohort of patients undergoing RASP at a single institution, use of the single-port robotic system conferred a significant decrease in post-operative narcotic use by approximately 50%.
Details
- Title: Subtitle
- Single-port robotic-assisted simple prostatectomy is associated with decreased post-operative narcotic use in a propensity score matched analysis
- Creators
- Vishnu Ganesan - The University of Texas Southwestern Medical CenterRyan L Steinberg - The University of Texas Southwestern Medical CenterAlaina Garbens - The University of Texas Southwestern Medical CenterHersh Trivedi - The University of Texas Southwestern Medical CenterIgor Sorokin - The University of Texas Southwestern Medical CenterClaus A Roehrborn - The University of Texas Southwestern Medical CenterBrett A Johnson - Department of Urology, University of Texas Southwestern, 2001 Inwood Dr., WCB3, Suite 4.878, Dallas, TX, 75390 MC 9110, USAJeffrey C Gahan - The University of Texas Southwestern Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of robotic surgery, Vol.16(2), pp.295-300
- DOI
- 10.1007/s11701-021-01236-1
- PMID
- 33837950
- ISSN
- 1863-2483
- eISSN
- 1863-2491
- Language
- English
- Date published
- 04/2022
- Academic Unit
- Urology
- Record Identifier
- 9984320070202771
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