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Pushing For Change - July 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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few small incisions or even a single incision. Robotic prostatectomy has evolved into the preferred method for both surgeons — who pre- fer the precision and ease of operating robotically — and patients, who recover sooner and with fewer complications. "About 90% of all prostatectomies in the country are done robotical- ly," says Ryan Dobbs, MD, a robotics fellow at the University of Pennsylvania Medical Group in Philadelphia. He says the increasing numbers of robotic prostatectomies are helping to shift more cases to outpatient facilities. "It would be unimaginable to safely discharge patients on the day of surgery without the robot," explains Dr. Dobbs. "We can after robotic procedures because patients lose less blood and, because we're mak- ing smaller incisions, they have less pain. These factors make the pro- cedure safer and feasible in outpatient ORs." Jihad Kaouk, MD, says the robot is also more effective for operating on patients who are obese, have had previous abdominal surgery or present with a complex or enlarged prostate. Learning to use the robot is fairly straightforward, according to Dr. Kaouk, a professor of surgery and director of the Center for Robotic and Image Guided Surgery at the Cleveland Clinic. "The short learning curve is why the vast majority of urologists now perform the proce- dure robotically," he says. Surgeon experience still matters, however. "The robot is a tool — there's nothing magical about performing the procedure with a robot and complications can still happen," says Dr. Kaouk. "The robot is a machine and its performance depends on the skill of the surgeon." Changing the mindset Educating patients about the benefits of robotic prostatectomy and preparing them for same-day discharge are keys to performing the 8 6 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 2 0

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