Ninety-day perioperative complications of pediatric robotic urological surgery: A multi-institutional study

Journal of Pediatric Urology
Pankaj DangleMohan S Gundeti

Abstract

Robotic technology is the newest tool in the armamentarium for minimally invasive surgery. Individual centers have reported on both the outcomes and complications associated with this technology, but the numbers in these studies remain small, and it has been difficult to extrapolate meaningful information. The intention was to evaluate a large cohort of pediatric robotic patients through a multi-center database in order to determine the frequency and types of complications associated with robotic surgery for pediatric reconstructive and ablative procedures in the United States. After institutional review board approvals at the participating centers, data were retrospectively collected (2007-2011) by each institute and entered into a RedCap(®) database. Available demographic and complication data that were assigned Clavien grading scores were analyzed. From a cohort of 858 patients (880 RAL procedures), Grade IIIa and Grade IIIb complications were seen in 41 (4.8%); and one patient (0.1%) had a grade IVa complication. Intraoperative visceral injuries secondary to robotic instrument exchange and traction injury were seen in four (0.5%) patients, with subsequent conversion to an open procedure. Grade I and II complications were se...Continue Reading

References

Jan 1, 1995·Neurourology and Urodynamics·H D FloodE J McGuire
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Mar 23, 2011·The Journal of Urology·Ryan P SmithCraig A Peters
Mar 21, 2012·BJU International·Marcelo A OrvietoMohan S Gundeti
Mar 21, 2012·BJU International·Alaa El-Ghoneimi
Aug 6, 2013·The Journal of Urology·Pankaj P DangleMohan S Gundeti
Feb 20, 2014·Journal of Endourology·Charles ChangMohan S Gundeti
Mar 20, 2014·Journal of Pediatric Urology·Ardavan AkhavanThomas S Lendvay

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Citations

Feb 25, 2017·Current Urology Reports·Jason E Michaud, Ardavan Akhavan
Apr 19, 2018·Current Urology Reports·Diana K BowenArun K Srinivasan
Jun 11, 2019·Frontiers in Pediatrics·Mario Navarrete Arellano, Francisco Garibay González
Sep 29, 2018·Asian Journal of Endoscopic Surgery·Kentaro MizunoYutaro Hayashi
Dec 29, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro AndolfiMohan S Gundeti

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