Same-Day colon surgery: a safe new option?

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Ages 18-70 * Undergoing robotic-assisted right colectomy, sigmoidectomy, or low anterior resection. * Able to perform greater than 4 metabolic equivalents (METS) without shortness of breath * Must have a designated adult who can care for them at home postoperatively until their in-person clinic visit * Access to a cell phone or computer and running water. * Successfully completed pre-operative and post-operative education * Medical criteria: * Well controlled hypertension with systolic blood pressure \< 140 controlled by less than two medications which they are compliant with * Well controlled diabetes on oral agents only with blood glucose level \< 180 on daily checks * Anti-platelet agents including aspirin, clopidogrel, prasugrel, ticagrelor or ticlopidine will be stopped 7 days preoperatively and restarted on postoperative day 1. See exclusion criteria 7 for specific exclusion criteria regarding antiplatelet agents. Exclusion Criteria: * Medical criteria: * Neurocognitive deficits not allowing for adequate preoperative education * Congestive heart failure with EF \< 45% * Symptomatic aortic stenosis causing heart failure, syncope, dyspnea or angina * Pulmonary fibrosis or pulmonary hypertension * COPD or home oxygen use \> 2L * Chronic kidney disease of any stage. * Lack of a caregiver at home or functionally bed-bound * Ultralow pelvic resection * Need for ostomy creation intraoperatively * Operative time greater than 5 hours as this likely indicates a complex case and dissection necessitating closer monitoring in the hospital * Conversion to open procedure intraoperatively * Patients receiving antiplatelet agents such as clopidogrel, prasugrel, ticagrelor or ticlopidine within one year of coronary or carotid stent implantation, TAVR or LAAO placement. * Patients on therapeutic anticoagulation medications such as warfarin, Eliquis, Xarelto, Enoxaparin * Current tobacco use * Patients who were unable to complete preoperative education, do not feel comfortable with care at home, or do not have an available caregiver for the first 7 postoperative days * Any surgical history that would preclude safe abdominal entry for robotic surgery