Patient outcomes in the acute revovery phase following robotic-assisted prostate surgery : a prospective study

Watts, Rosemary, Botti, Mari, Beale, Elizabeth, Crowe, Helen and Costello, A.J. 2009, Patient outcomes in the acute revovery phase following robotic-assisted prostate surgery : a prospective study, International journal of nursing studies, vol. 46, no. 4, pp. 442-449.

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Title Patient outcomes in the acute revovery phase following robotic-assisted prostate surgery : a prospective study
Author(s) Watts, Rosemary
Botti, Mari
Beale, Elizabeth
Crowe, Helen
Costello, A.J.
Journal name International journal of nursing studies
Volume number 46
Issue number 4
Start page 442
End page 449
Total pages 8
Publisher Pergamon
Place of publication Oxford, England
Publication date 2009-04
ISSN 0020-7489
1873-491X
Keyword(s) prostatectomy
nursing care
outcomes research
robotics
surgery urologic male
Summary Background: Robotic-assisted minimally invasive urologic surgery was developed to minimise surgical trauma resulting in quicker recovery. It has many potential benefits for patients with localised prostate cancer over traditional surgical techniques without taking a risk with the oncological result.

Objectives:
To report the specific surgical outcomes for the first Australian cohort of patients with localised prostate cancer that had undergone robotic-assisted radical prostatectomy (RARP) surgery. The outcomes represent the acute (in-hospital) recovery phase and include pain, length of stay (LOS), urinary catheter management and wound management.

Methods:
Prospective descriptive survey of 214 consecutive patients admitted to a large metropolitan private hospital in Melbourne, Australia between December 2003 and June 2005. Patients had undergone RARP surgery for localised prostate cancer. Data were collected from the medical records and through interview at the time of discharge. Descriptive statistics were used to describe the frequency and proportion of outcomes. Patient characteristics were tabulated using cross tabulation frequency distribution and measures of central tendency.

Results:
The findings from this study are highly encouraging when compared to outcomes associated with traditional surgical techniques. Transurethral catheter duration (median 7 days (IQ range 2)) and LOS (median 3 days (IQ range 2)) were considerably reduced. While operation time (median 3.30 h (IQ range 1.07)) was marginally reduced we would expect a further reduction as the surgical team becomes more skilled.

Conclusion:
The findings from this study contribute to building a comprehensive picture of patient outcomes in the acute (in-hospital) recovery phase for a cohort of Australian patients who have undergone RARP surgery for localised prostate cancer. As such, these findings will provide valuable information with which to plan care for patients’ who undergo robotic-assisted surgery.
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2009
Copyright notice ©2007, Elsevier Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30019625

Document type: Journal Article
Collection: School of Nursing and Midwifery
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