Robotic urologic surgery complications

Abstract

Robot-assisted surgery is a commonly performed procedure in the recent urological approach. The scientific data that reveal the complication rates also tend to increase by the rising popularity of the robot-assisted surgeries in the treatment of urological cancers. Patient characteristics, nature of the cancer and learning curve of the surgeon are the determinant factors of the complication rates. Nevertheless, robot-assisted surgical techniques are safer with acceptable morbidity and mortality rates as compared to open surgical methods. In urology practice, robotic surgery is most commonly performed in the treatment of prostate cancer. Thus, this review subjected to reveal the commonly seen and the serious complications of robot-assisted radical prostatectomy, and their prevention and management.

Diagnosis and Conservative Management of Ureteral Orifice Injury During Robotic Prostatectomy for a Large Prostate with a Prominent Median Lobe

“…Ureter injuries during RALRP are rare, with a reported incidence between 0.1% and 0.3%. 1 This complication may result in additional postoperative morbidity, prolonged hospital stay, and secondary treatment requirements.…”

Association of In-Hospital Surgical Bleeding Events with Prolonged Hospital Length of Stay, Days Spent in Critical Care, Complications, and Mortality: A Retrospective Cohort Study Among Patients Undergoing Neoplasm-Directed Surgeries in English Hospitals

“…In the present study, the crude incidence proportion of in-hospital bleeding events for the index admission ranged from 1.0% (95% CI = 0.6–1.3%) among patients undergoing prostate surgery to 3.0% (95% CI = 2.3–3.6%) among patients undergoing low anterior resection; these estimates are generally comparable to those in the existing literature. The rate of bleeding complicating a procedure has been reported to be 2.5% for mastectomy, 23 0.5–2.6% for prostatectomy, 24–26 1.3–1.9% for thoracic surgery, 27 0.4% to 6.4% for hysterectomy, 28–30 and 10.9% for low anterior resection 31 (for low anterior resection, the comparatively higher rate is likely explained by a broader definition of bleeding, which included not only hemorrhage and hematoma complicating a procedure but also seroma and acute post-hemorrhagic anemia). None of the aforementioned studies were based in UK, however, underscoring the unique contribution the present study adds to the literature.…”

Port‐site incisional hernia from an 8‐mm robotic trocar following robot‐assisted radical cystectomy: Report of a rare case

“…PIH is a rare but well‐known complication of laparoscopic surgery, and it may have cause severe adverse outcomes such as intestinal necrosis 1 . Montz et al 2 .…”