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Managing Postoperative Complications After Robot-Assisted Radical Prostatectomy

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Robotic Urologic Surgery

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Abstract

Radical prostatectomy (RP) is a well-established treatment option for clinically localized cancers. In the last decades, the robot-assisted approach became very popular, and more than 75% of procedures are nowadays performed using a robotic surgical platform. Several population-based studies demonstrated a lower risk of complications in patients undergoing robot-assisted RP (RARP) compared to those who received open surgery and proved that this modern approach can be performed routinely, in a reasonably short operation time, with limited blood loss and low transfusion rates.

Recent systematic reviews reported a 9% mean complication rate (range, 3–26%), being 4% (range, 2–11.5%) Clavien-Dindo grade I, 3% (range, 2–9%) grade II, 2% (range, 0.5–7%) grade III, 0.4% (range, 0–1.5%) grade IV, and 0.02% (range, 0–0.5%) grade V (Novara G, Ficarra V, Rosen RC, Artibani W, Costello A, Eastham JA, et al. Systematic review and meta-analysis of perioperative outcomes and complications after robot-assisted radical prostatectomy. Eur Urol. 2012;62:431–52). Lymphoceles (mean 3.1%; range 1.2–29%) and urine leaks (mean 1.8%; range 0.1–6.7%) were the most prevalent surgical complications. Obesity, large trilobate glands, prior abdominal, or prostate surgery may increase the risk of complications, while surgical experience may play a role in improving perioperative outcomes and limiting complications.

In this chapter, we will cover the most common and interesting postoperative complications after RARP, presenting recent evidences concerning their incidence, physiopathology, clinical presentation, diagnosis, and treatment options.

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Authors and Affiliations

  1. Fondazione Vincenzo Pansadoro, Rome, Italy

    Aldo Brassetti, Flavia Proietti & Vito Pansadoro

  2. IRCCS “Regina Elena” National Cancer Institute, Rome, Italy

    Aldo Brassetti

  3. Galway Clinic, Galway, Ireland

    David Bouchier-Hayes

Authors
  1. Aldo Brassetti
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  2. Flavia Proietti
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  3. David Bouchier-Hayes
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  4. Vito Pansadoro
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Editor information

Editors and Affiliations

  1. Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA

    Peter Wiklund

  2. Department of Urology, ORSI Academy, Aalst, Belgium

    Alexandre Mottrie

  3. Pediatric Urology, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA

    Mohan S Gundeti

  4. Urology, Global Robotics Institute, Celebration, FL, USA

    Vipul Patel

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© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Brassetti, A., Proietti, F., Bouchier-Hayes, D., Pansadoro, V. (2022). Managing Postoperative Complications After Robot-Assisted Radical Prostatectomy. In: Wiklund, P., Mottrie, A., Gundeti, M.S., Patel, V. (eds) Robotic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-00363-9_31

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  • DOI: https://doi.org/10.1007/978-3-031-00363-9_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-00362-2

  • Online ISBN: 978-3-031-00363-9

  • eBook Packages: MedicineMedicine (R0)

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