A Clinician's Guide to Avoiding and Managing Common Complications During and After Robot-assisted Laparoscopic Radical Prostatectomy

作者: Daniel Pucheril , Logan Campbell , Ricarda M. Bauer , Francesco Montorsi , Jesse D. Sammon

DOI: 10.1016/J.EUF.2016.03.013

关键词:

摘要: Abstract Context Robot-assisted radical prostatectomy (RARP) is on the advance globally, and it essential for surgeons patients to know rates of perioperative complications. Objective To provide evidence-based clinical guidance avoiding managing common complications during after RARP in context a comprehensive literature review. Evidence acquisition In concordance with Preferred Reporting Items Systematic Reviews Meta-analysis 2015 statement guidelines, search PubMed database from August 1, 2011, 31, 2015, using predefined terms robot* AND , was conducted. The resulted 653 unique results that were subsequently uploaded DistillerSR (Evidence Partners, Ottawa, Canada) team-based screening processing references. synthesis Overall, 37 studies met inclusion criteria included. Median rate overall complication 12.6% (range: 3.1–42%). Most minor (Clavien-Dindo grades 1 2). Grade 3 comprised bulk major median 2.7%; grade IV V exceedingly rare all reports. Conclusions Despite continued adoption technique remain low. Many experienced can be mitigated prevented by experience implementation safe techniques. Patient summary robot-assisted low at 2.7%, respectively. Complications minimized successfully managed established reproducible technique.

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