An unbiased prospective report of perioperative complications of robot-assisted laparoscopic radical prostatectomy.

摘要: Objectives To analyze and classified our single-institution experience with the perioperative complications associated robot-assisted laparoscopic radical prostatectomy (RALRP). Methods A total of 239 patients a mean age 60.6 years were evaluated (January 2007 to June 2008). Data collected through an institutional review board–approved blinded prospective database by independent third party committee. The data-points accrued set forth 5-member panel including 3 robotic urological surgeons (J. R., G. H., P.), chief general surgery (H. S.), member hospital's outcomes Modified Clavien system was used grade complications, I II representing minor III, IV, V major complications. Results Of patients, 198 (82.9%) had uneventful postoperative course, defined as discharged home from hospital within 2 days postoperatively no unscheduled procedures/studies/hospital admissions or emergency room visits. On remaining 41 55 found. these, 24 I, 17 II, 7 IIIa, 5 IIIb, 1 IVa, There mortality (0.4%) attributed pulmonary embolism on autopsy. Blood loss data revealed intraoperative transfusion 9 (3.8%) transfusions. Conclusions RALRP is complication rates 5.0% 14.6%, respectively. Prospective are lacking in published data. Our prospective, unbiased provide important tool help counsel prostatectomy.