# Ultra low pressure robotic assisted radical prostatectomy (RARP) with pelvic lymph node dissection performed as a day case: first reported case in the UK

## TL;DR

A man in his 60s safely had a complex prostate cancer surgery and went home the same day, marking a first in the UK.

## Contribution

This is the first reported UK case of day-case robotic-assisted radical prostatectomy with pelvic lymph node dissection at ultra-low pressure.

## Key findings

- The patient was discharged safely the same day with no complications.
- Ultra-low pressure techniques enabled a successful same-day discharge after complex prostate surgery.
- The procedure is feasible and potentially scalable within NHS pathways with proper patient selection and care.

## Abstract

A man in his sixties with locally advanced prostate cancer underwent ultra-low pressure robotic-assisted radical prostatectomy (RARP) with pelvic lymph node dissection (PLND) and was safely discharged the same day. This is the first reported UK case of day-case RARP with PLND performed at 6 mmHg. The patient experienced no complications and reported minimal discomfort postoperatively. We highlight that, with appropriate patient selection, patient’s counselling, perioperative optimization, and ultra-low pressure techniques, same-day discharge after RARP with PLND is feasible, safe, and potentially scalable within NHS pathways.