Same-Day Discharge After Laparoscopic Hysterectomy for Endometrial Cancer

作者: Alexander Melamed , Jennifer L. Katz Eriksen , Emily M. Hinchcliff , Michael J. Worley , Ross S. Berkowitz

DOI: 10.1245/S10434-015-4582-4

关键词:

摘要: The aim of this study was to investigate the relationship between same-day discharge (SDD) and postoperative complications within 30 days laparoscopic hysterectomy for endometrial cancer intraepithelial neoplasia (EIN). This single-institution retrospective cohort included all patients who underwent conventional robotic-assisted or EIN in a large teaching hospital 2011 2013. Temporal trends frequency SDD rates were investigated assess whether adoption routine associated with increased complications. Associations also univariate multivariate models. Overall, 696 hysterectomy. Of these, 37.1 % had pelvic lymphadenectomy, 3.0 % para-aortic 9.3 % omentectomy. rate from 3.9 69.6 % during period (p < 0.001), readmission, unscheduled surgery, infection, composite did not differ period. complication significantly surgery before after (rate ratio 0.7, 95 % CI 0.4–1.2, p = 0.24). After controlling demographic, intraoperative, comorbid factors, at risk Adoption result our institution. A larger prospective is required definitively establish safety approach.

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