937 PERI-OPERATIVE OUTCOMES AND EARLY COMPLICATION RATES AFTER 4000 ROBOT ASSISTED RADICAL PROSTATECTOMIES

Abstract

You have accessJournal of UrologyTechnology & Instruments: Robotics/Laparoscopy1 Apr 2011937 PERI-OPERATIVE OUTCOMES AND EARLY COMPLICATION RATES AFTER 4000 ROBOT ASSISTED RADICAL PROSTATECTOMIES Sanket Chauhan, Rafael Coelho, Ananthakrishnan Sivaraman, Kenneth Palmer, Bernardo Rocco, and Vipul Patel Sanket ChauhanSanket Chauhan Celebration, FL More articles by this author , Rafael CoelhoRafael Coelho Celebration, FL More articles by this author , Ananthakrishnan SivaramanAnanthakrishnan Sivaraman Celebration, FL More articles by this author , Kenneth PalmerKenneth Palmer Celebration, FL More articles by this author , Bernardo RoccoBernardo Rocco Celebration, FL More articles by this author , and Vipul PatelVipul Patel Celebration, FL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.855AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Robot Assisted Radical Prostatectomy (RARP) is a rapidly evolving minimally invasive treatment modality for clinically localized prostate cancer. We report single surgeon experience with 4000 consecutive cases analyzing the perioperative outcomes and early complications. METHODS After IRB approval, we retrospectively analyzed 4000 consecutive cases of RARP. All cases were performed via a 6 port trans-peritoneal technique. The complications were classified according to the Clavien grading system. RESULTS Patient demographics are listed in Table 1. The median (IQR) OR time and blood loss were respectively 75 min (75–80) and 100 ml (100–150) while the median length of hospital stay and days on catheter were 1 day (1–1) and 5 days (4–6) respectively. The overall positive margin rate was 11.1% (pT2: 5.8%, pT3: 27.1%, pT4: 51.6%). Overall, 224 patients had 246 complications (6.1%). The most common peri-operative complication was ileus (0.7%) followed by bleeding requiring blood transfusions (0.5%). Intra-operatively, two patients (0.05%) had rectal injury while one patient (0.03%) had a small bowel injury during lysis of adhesions by general surgery. Two surgeries had to be converted laparoscopically due to system malfunction. The most common post operative complication was anastomosis leak (1.9%) followed by acute urinary retention (0.63%) [Table 2]. The incidence of minor complications (Clavien 1+2) was 5.1%, while that of major complications (Clavien grade 3+4) was 0.95%. Two patients (0.05%) died within 90 days of surgery, both unrelated to the robotic procedure: one had a cavernous sinus thrombosis, while the other had a post-operative myocardial infarction. CONCLUSIONS After a decade of evolution, mature series reporting the outcomes of RARP are now available. These can be used to counsel the patients while explaining the peri-operative outcomes and complications of RARP. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e375-e376 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sanket Chauhan Celebration, FL More articles by this author Rafael Coelho Celebration, FL More articles by this author Ananthakrishnan Sivaraman Celebration, FL More articles by this author Kenneth Palmer Celebration, FL More articles by this author Bernardo Rocco Celebration, FL More articles by this author Vipul Patel Celebration, FL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...