Nongenitourinary complications associated with robot-assisted laparoscopic and radical retropubic prostatectomy: A single institution assessment of 1,100 patients over 11 years

Brooks, Nathan; Boland, Riley; Strigenz, Michael E; Mott, Sarah L.; Brown, James A.

doi:10.1016/j.urolonc.2018.07.017

Cited by 10 publications

(12 citation statements)

References 30 publications

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“…The online version of this article (https ://doi.org/10.1007/s1002 9-020-02178 -7) contains supplementary material, which is available to authorized users. * H. Nilsson hanna.nilsson@vgregion.se Extended author information available on the last page of the article an increased risk of developing an incisional hernia after RALP as compared to RRP, despite the longer incision of the latter [8,10,11,13]. Inguinal and incisional hernia may infrequently cause severe morbidity, and even mortality [14,15].…”

Section: Electronic Supplementary Materialsmentioning

confidence: 99%

Risk of hernia formation after radical prostatectomy: a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial

Nilsson

Stranne

Hugosson

et al. 2020

Hernia

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Purpose In addition to incisional hernia, inguinal hernia is a recognized complication to radical retropubic prostatectomy. To compare the risk of developing inguinal and incisional hernias after open radical prostatectomy compared to robot-assisted laparoscopic prostatectomy. Method Patients planned for prostatectomy were enrolled in the prospective, controlled LAPPRO trial between September 2008 and November 2011 at 14 hospitals in Sweden. Information regarding patient characteristics, operative techniques and occurrence of postoperative inguinal and incisional hernia were retrieved using six clinical record forms and four validated questionnaires. Results 3447 patients operated with radical prostatectomy were analyzed. Within 24 months, 262 patients developed an inguinal hernia, 189 (7.3%) after robot-assisted laparoscopic prostatectomy and 73 (8.4%) after open radical prostatectomy. The relative risk of having an inguinal hernia after robot-assisted laparoscopic prostatectomy was 18% lower compared to open radical retropubic prostatectomy, a non-significant difference. Risk factors for developing an inguinal hernia after prostatectomy were increased age, low BMI and previous hernia repair. The incidence of incisional hernia was low regardless of surgical technique. Limitations are the non-randomised setting.Conclusions We found no difference in incidence of inguinal hernia after open retropubic and robot-assisted laparoscopic radical prostatectomy. The low incidence of incisional hernia after both procedures did not allow for statistical analysis. Risk factors for developing an inguinal hernia after prostatectomy were increased age and BMI.

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Section: Electronic Supplementary Materialsmentioning

confidence: 99%

Risk of hernia formation after radical prostatectomy: a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial

Nilsson

Stranne

Hugosson

et al. 2020

Hernia

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“…Factors associated with the development of peripheral neuropathies following RARP are described in Table 2. Higher ASA score and comorbidities have been associated with postsurgical peripheral neuropathies in multiple studies 16,19 . A longer intraoperative time (IOT) was not associated with neuromuscular complications in the study by Gezginci et al 19 ; in contrast, Koc et al, 17 and Mills et al 16 found that a longer IOT could be a potential risk factor for LE neuropathies ( p < .01).…”

Section: Resultsmentioning

confidence: 95%

“…Literature search revealed 4975 potentially relevant studies; after the first screening we obtained 488 eligible articles. Six studies were included in the qualitative and quantitative analysis, of which one is a prospective RCT 15 and five are retrospective cohort studies (RCR) 7,15,16 …”

Section: Resultsmentioning

confidence: 99%

“…Overall, 0.2% of neuropathic complications occurred either to the UE or LE 7 . Brooks et al 16 retrospectively analyzed 646 patients after RARP; no details on patient positioning procedure, primary fixation point to the operation table or specific postoperative screening was mentioned. The authors distinguished between UE and LE complications (numbness, tingling, pain, or localized swelling) and postoperative neuropathies (numbness, tingling, weakness, or nerve damage); they found that nine patients suffered from UE (1.4%) and 33 patients LE complications (5.1%).…”

Section: Resultsmentioning

confidence: 99%

“…The authors distinguished between UE and LE complications (numbness, tingling, pain, or localized swelling) and postoperative neuropathies (numbness, tingling, weakness, or nerve damage); they found that nine patients suffered from UE (1.4%) and 33 patients LE complications (5.1%). No data were disclosed regarding the duration of symptoms 16 . Genzginci et al 19 included 534 consecutive patients after RARP in a retrospective analysis of prospectively maintained data.…”

Section: Resultsmentioning

confidence: 99%

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Postoperative peripheral neuropathies associated with patient positioning during robot‐assisted laparoscopic radical prostatectomy (RARP): A systematic review of the literature

et al. 2021

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Objective To perform a systematic review of the literature concerning postoperative peripheral neuropathies associated with patient positioning during robot‐assisted laparoscopic radical prostatectomy (RARP). Patients and Methods A systematic review on articles published from January 1, 1990 to March 15, 2020 was performed in accordance with the PRISMA declaration (Preferred Reporting Items for Systematic Reviews and Meta‐Analysis). The electronic search was done searching through the Cochrane Registry, PubMed/EMBASE, Medline, and Scopus. Relevant papers addressing postoperative peripheral neuropathies related to patient positioning during RARP were integrated into the analyses. Results After screening 4975 articles, one randomized controlled trial and five retrospective studies with a total of 63,667 patients were included in this review. Peripheral neuropathies of the upper extremities were documented in three articles with a total of 15 patients, peripheric neuropathies of the lower extremities were reported in five articles with a total of 76 patients. Analysis of the data was exploratory, since screening techniques, systematically reporting, and description of positioning techniques was not standardized or not reported. Conclusions The incidence of peripheral neuropathies at RARP varies between 1.3% and 10.8%. Lower extremities are more affected than upper extremities and the most important risk factors are intraoperative time duration, patients comorbidities, and ASA score. High‐quality prospective randomized studies to better assess the impact of patient positioning during RARP on the development postoperative peripheral neuropathies are needed.

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Systematic review of the ophthalmic complications of robotic-assisted laparoscopic prostatectomy

Rabinowitz,

Kinnear,

O’Callaghan

et al. 2024

J Robotic Surg

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Nongenitourinary complications associated with robot-assisted laparoscopic and radical retropubic prostatectomy: A single institution assessment of 1,100 patients over 11 years

Cited by 10 publications

References 30 publications

Risk of hernia formation after radical prostatectomy: a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial

Risk of hernia formation after radical prostatectomy: a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial

Postoperative peripheral neuropathies associated with patient positioning during robot‐assisted laparoscopic radical prostatectomy (RARP): A systematic review of the literature

Systematic review of the ophthalmic complications of robotic-assisted laparoscopic prostatectomy

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