Complications of Minimally Invasive Surgery and Their Management
- 526 Downloads
Minimally invasive surgery, including both traditional laparoscopic and robot-assisted laparoscopic approaches, has increasingly become the standard of care for urologic abdominal and pelvic surgery. This is a comprehensive review of the contemporary literature regarding complications of laparoscopic and robotic urologic surgery. The review highlights pertinent studies with the goal of providing the minimally invasive urologic surgeon with an up-to-date overview of general and procedure-specific complications and their management.
KeywordsMinimally invasive surgery Laparoscopic surgery Robot-assisted surgery Radical prostatectomy Radical cystectomy Renal surgery
Compliance with Ethical Standards
Conflict of Interest
Joshua R. Kaplan, Ziho Lee, and Adam C. Reese each declare no potential conflicts of interest. Daniel D. Eun is a consultant for Medtronic/Covidien and lecturer for Intuitive Surgical.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
MIS Complications PTX (MOV 56803 kb)
MIS Complications Spleen (MOV 72692 kb)
MIS Complications Vascular (MOV 69526 kb)
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 8.Eichel L. Fundamentals of laparoscopic and robotic urologic surgery. In: Campbell-Walsh urology, 10th Ed. Philadelphia: Elsevier; 2012.Google Scholar
- 10.••Sotelo RJ, Haese A, Machuca V, Medina L, Nunez L, Santinelli F, et al. Safer surgery by learning from complications: a focus on robotic prostate surgery. Eur Urol. 2015. Excellent in-depth overview of all possible areas of complications in robot-assisted radical prostatectomy with an eye towards helping other urologists prevent complications in their own patients through prevention.Google Scholar
- 15.Carmicheal D. Laparoscopy-cardiac considerations. Fertil Steril. 1971;22:69–70.Google Scholar
- 17.Bushey R. Management of intraabdominal, pelvic, and genitourinary complications of colorectal surgery. In: UpToDate: UpToDate, Waltham. Accessed 4 Jan 2016.Google Scholar
- 24.Tewari A, Sooriakumaran P, Bloch DA, Seshadri-Kreaden U, Hebert AE, Wiklund P. Positive surgical margin and perioperative complication rates of primary surgical treatments for prostate cancer: a systematic review and meta-analysis comparing retropubic, laparoscopic, and robotic prostatectomy. Eur Urol. 2012;62:1–15.CrossRefPubMedGoogle Scholar
- 39.Yu HY, Hevelone ND, Lipsitz SR, Kowalczyk KJ, Nguyen PL, Choueiri TK, et al. Comparative analysis of outcomes and costs following open radical cystectomy versus robot-assisted laparoscopic radical cystectomy: results from the US Nationwide Inpatient Sample. Eur Urol. 2012;61:1239–44.CrossRefPubMedGoogle Scholar
- 42.•Bochner BH, Dalbagni G, Sjoberg DD, Silberstein J, Keren Paz GE, Donat SM, et al. Comparing open radical cystectomy and robot-assisted laparoscopic radical cystectomy: a randomized clinical trial. Eur Urol. 2015;67:1042–50. The largest, prospective randomized open versus robot-assisted radical cystectomy series to date, wherein all robotic patients underwent extracorporeal conduit creation.CrossRefPubMedGoogle Scholar
- 47.•Novara G, Catto JW, Wilson T, Annerstedt M, Chan K, Murphy DG, et al. Systematic review and cumulative analysis of perioperative outcomes and complications after robot-assisted radical cystectomy. Eur Urol. 2015;67:376–401. Comprehensive meta-analysis of available cystectomy series with comparison of outcomes by approach as well as an attempt to account for the type and approach to urinary diversions when comparing perioperative complications.CrossRefPubMedGoogle Scholar
- 57.Di Pierro GB, Grande P, Wirth JG, Danuser H, Mattei A. Extended pelvic lymph node dissection at the time of robot-assisted radical prostatectomy: impact of surgical volume on efficacy and complications in a single-surgeon series. Can Urol Assoc J. 2015;9:107–13.CrossRefPubMedPubMedCentralGoogle Scholar
- 63.•Tanagho YS, Kaouk JH, Allaf ME, Rogers CG, Stifelman MD, Kaczmarek BF, et al. Perioperative complications of robot-assisted partial nephrectomy: analysis of 886 patients at 5 United States centers. Urology. 2013;81:573–9. This remains the largest series to date of partial nephrectomy outcomes.CrossRefPubMedGoogle Scholar