Robotic urological surgery in patients with prior abdominal operations is not associated with increased complications

International Journal of Urology : Official Journal of the Japanese Urological Association
Tanya NazemiK C Balaji

Abstract

The da Vinci Surgical Robotic System is being increasingly used to perform complex urological operations by minimally invasive techniques. Prior abdominal surgery associated with intra-abdominal adhesions may complicate robotic surgery. We used a cohort of consecutive 49 patients undergoing a variety of robotic urological procedures at our institution to study the impact of prior abdominal operations on early perioperative complications. A total of 21/49 (43%) patients (Group A) had no history of prior abdominal surgery and the rest 28/49 (57%; Group B) had undergone prior abdominal surgery. The incidence of peritoneal adhesions was significantly higher in patients with prior abdominal surgery compared to the rest of the cohort, 54% versus 10% (P=0.002). The median operative time, estimated blood loss, postoperative drop in hemoglobin, time to hospital discharge, postoperative narcotic analgesic use and postoperative complication rate between group A and group B were not statistically different. The overall perioperative complication rate for the entire cohort was 14.3%, with 6-8% of complications occurring in each of the two groups (P=1.0). Comparative subset analysis of 28 patients in Group B, 15 (54%) and 13 (46%) with or wi...Continue Reading

References

Apr 13, 2004·Current Opinion in Urology·Ashok K Hemal, Mani Menon
Aug 5, 2004·BJU International·Waleed A Hasan

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Citations

Dec 29, 2007·Surgical Endoscopy·D M HerronUNKNOWN SAGES-MIRA Robotic Surgery Consensus Group
Dec 24, 2010·BJU International·Firas G PetrosCraig G Rogers

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