J Robot Surg. 2025 Dec 22;20(1):112. doi: 10.1007/s11701-025-03029-2.
ABSTRACT
To evaluate the effect of a multidisciplinary team (MDT) continuing care model led by diabetes specialist nurses on patients with benign adrenal tumors and type 2 diabetes mellitus undergoing robotic daytime surgery. This retrospective cohort study enrolled 60 type 2 diabetes patients undergoing robot-assisted adrenal tumor resection at the Day Surgery Department of Shanxi Bethune Hospital between October 2024 and May 2025. Patients were divided into two groups based on recorded nursing patterns: the observation group (n = 30) received structured multidisciplinary team (MDT) extended care in addition to standard nursing, while the control group (n = 30) received routine follow-up management. The study compared blood glucose control parameters (fasting glucose, 2-hour postprandial glucose, and glycated hemoglobin), 8-day postoperative wound healing outcomes, diabetes self-management behavior scores, patient satisfaction, and 48-hour delayed discharge rates under different surgical management models. Before the intervention, there was no statistically significant difference in various indicators between the two groups (P > 0.05). After the intervention, the fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin indicators in the observation group were better than those in the control group. The postoperative wound healing and patient self-management behavior results were superior to the control group. Patient satisfaction was higher in the observation group, and the 48-hour delayed discharge rate under the daytime surgery model was lower than that in the control group. These differences were statistically significant (P < 0.05). This retrospective analysis indicates that, in clinical practice, implementing a diabetes-specialist-nurse-led MDT transitional care model for diabetic patients with adrenal tumors undergoing robotic ambulatory surgery is significantly associated with better glycemic control, enhanced postoperative wound healing, improved patient self-management ability and satisfaction, and reduced delayed discharge rates. This model can serve as a beneficial strategy to optimize the management of ambulatory surgical patients.
PMID:41428247 | DOI:10.1007/s11701-025-03029-2
