The Impact of Implementation of the European Association of Urology Guidelines Panel Recommendations on Reporting and Grading Complications on Perioperative Outcomes after Robot-assisted Radical Prostatectomy

Gandaglia, Giorgio; Bravi, Carlo Andrea; Dell’Oglio, Paolo; Mazzone, Elio; Fossati, Nicola; Scuderi, Simone; Robesti, Daniele; Barletta, Francesco; Grillo, Luca; MacLennan, Steven; N’Dow, James; Montorsi, Francesco; Briganti, Alberto

doi:10.1016/j.eururo.2018.02.025

Cited by 55 publications

(25 citation statements)

References 12 publications

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“…In this context, we found that independent predictors of the risk of RAD were seminal vesicle invasion, open approach, and performing ePLND. Moreover, our study confirmed the evidence reported by other studies showing that RARP decreases the risk of hospital readmission after surgery [6,7,28,[30][31][32]34].…”

Section: Overall Association Of Group Factors With the Risk Of Hospitsupporting

confidence: 91%

“…The incidence of hospital readmission after RP between 30 and 90 days after RP ranges from 3.3 to 9.7%, [6][7][8][28][29][30][31][32][33]. Particularly, readmission rates after ORP range between 5.47 and 10.7% [8,28,29,32,33], and readmission rates after LRP vary between 8.2 and 10.7% [21,22].…”

Section: Overall Association Of Group Factors With the Risk Of Hospitmentioning

confidence: 99%

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Predictive Factors of the Risk of Long-Term Hospital Readmission after Primary Prostate Surgery at a Single Tertiary Referral Center: Preliminary Report

et al. 2020

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Objective: To evaluate the predictors of the risk of long-term hospital readmission after radical prostatectomy (RP) in a single tertiary referral center where both open RP (ORP) and robot assisted RP (RARP) are performed. Materials and Methods: The risk of readmission was evaluated by clinical, pathological, and perioperative factors. Skilled and experienced surgeons performed the 2 surgical approaches. Patients were followed for complications and hospital readmission for a period of 6 months. The association of factors with the risk of readmission was assessed by Cox's multivariate proportional hazards. Results: From December 2013 to 2017, 885 patients underwent RP. RARP was performed in 733 cases and ORP in 152 subjects. Extended pelvic lymph node dissection (ePLND) was performed in 479 patients. Hospital readmission was detected in 46 cases (5.2%). Using a multivariate model, independent factors associated with the risk of hospital readmission were seminal vesicle invasion (hazard ratio [HR] 2.065; 95% CI 1.116-3.283; p = 0.021), ORP (HR 3.506; 95% CI 1.919-6.405; p < 0.0001), and ePLND (HR 5.172; 95% CI 1.778-15.053; p < 0.0001). Conclusions: In a large single tertiary referral center, independent predictors of the risk of long-term hospital readmission after RP included ORP, ePLND, and seminal vesicle invasion. When surgery is chosen as a primary treatment of PCA, patients should be informed of the risk of long-term hospital readmission and its related risk factors.

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Section: Overall Association Of Group Factors With the Risk Of Hospitsupporting

confidence: 91%

Section: Overall Association Of Group Factors With the Risk Of Hospitmentioning

confidence: 99%

Predictive Factors of the Risk of Long-Term Hospital Readmission after Primary Prostate Surgery at a Single Tertiary Referral Center: Preliminary Report

et al. 2020

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“…All the 14item criteria of the EAU guidelines were fulfilled [22,23] (Table S1). This is crucial to strengthen our results and avoid underestimating the rate of complications reported [29,30]. Indeed, by fulfilling all the suggested criteria, we ensured the high reliability of the data reported on postoperative complications.…”

Section: Discussionmentioning

confidence: 66%

Robot‐assisted Boari flap and psoas hitch ureteric reimplantation: technique insight and outcomes of a case series with ≥1 year of follow‐up

et al. 2021

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ObjectiveTo describe step-by-step surgical techniques and report outcomes of the largest single-centre series of patients with distal ureteric disease exclusively treated with robot-assisted ureteric reimplantation with Boari flap (RABFUR) and psoas hitch (RAPHUR), with a minimum follow-up of 1 year and complete postoperative data. Patients and MethodsA total of 37 patients with distal ureteric disease were treated between 2010 and 2018. Of these, 81% and 19% underwent RAPHUR and RABFUR, respectively. Intra-, peri-and postoperative outcomes were assessed. The 90-day postoperative complications were reported according to the standardised methodology proposed by the European Association of Urology Ad Hoc Panel. Functional outcomes (creatinine, estimated glomerular filtration rate [eGFR]) and postoperative symptoms (visual analogue pain scale) were assessed. ResultsThe median operating time and blood loss were 180 min and 100 mL, respectively. There were no conversions to open surgery and no intraoperative transfusions. The median length of stay, bladder catheter indwelling time and stent removal were 4, 7 and 30 days, respectively. The median follow-up was 24 months. Overall, 10 patients (27%) had postoperative complications and of these, eight (22%) and two (5.4%) were Clavien-Dindo Grade I-II and III, respectively. At the last follow-up, the median postoperative creatinine level and eGFR were 0.9 mg/dL and 73.5 mL/min/1.73 m 2 , respectively. At the last follow-up, five (13.5%) and three (8%) patients had Grade 1 hydronephrosis and mild urinary symptoms, respectively. The study limitations include its retrospective nature. ConclusionIn the present study, we present our RABFUR and RAPHUR techniques. We confirm the feasibility and safety profile of both approaches in patients with distal ureteric disease relying on the largest single-centre series with ≥1 year of follow-up.

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“…However, these early promising low complication rates may be explained by the fact that the only Brazilian men with nonpalpable lymph nodes without previous DSNB or biopsies were included, which is in contrast to our series of British individuals with a high proportion of palpable nodes and previous DSNBs. Furthermore, complications should be assessed prospectively [25] and definitions of symptomatic lymphocele/seromas, wound infections, and lymphoedema should be developed beforehand.…”

Section: Discussionmentioning

confidence: 99%

Saphenous-sparing Ascending Video Endoscopic Inguinal Lymph Node Dissection Using a Leg Approach: Surgical Technique and Perioperative and Pathological Outcomes

Fankhauser

Lee

Issa

et al. 2022

European Urology Open Science

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The Impact of Implementation of the European Association of Urology Guidelines Panel Recommendations on Reporting and Grading Complications on Perioperative Outcomes after Robot-assisted Radical Prostatectomy

Cited by 55 publications

References 12 publications

Predictive Factors of the Risk of Long-Term Hospital Readmission after Primary Prostate Surgery at a Single Tertiary Referral Center: Preliminary Report

Predictive Factors of the Risk of Long-Term Hospital Readmission after Primary Prostate Surgery at a Single Tertiary Referral Center: Preliminary Report

Robot‐assisted Boari flap and psoas hitch ureteric reimplantation: technique insight and outcomes of a case series with ≥1 year of follow‐up

Saphenous-sparing Ascending Video Endoscopic Inguinal Lymph Node Dissection Using a Leg Approach: Surgical Technique and Perioperative and Pathological Outcomes

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