Complications of robotic-assisted laparoscopic radical prostatectomy: Experience Sharing from 2000 cases involving a single surgeon

IF 0.8 Q4 UROLOGY & NEPHROLOGY
C. Lu, Y. Ou, Y. Lin, Li-Hua Huang, W. Weng, Chao-Yu Hsu, M. Tung
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Abstract

Purpose: Sharing experiences of complications with robotic-assisted laparoscopic radical prostatectomy (RALP) in 2000 patients treated by a single surgeon. Materials and Methods: We retrospectively reviewed 2,000 prostate cancer patients who underwent RALP (Group I, cases 1–1,000; Group II, cases 1001–2000) from December 2005 to September 2020 to compare the complications of the first 1000 patients with those of the latter 1000. All procedures were performed by the same experienced surgeon. Perioperative surgical complications were classified using the Clavien–Dindo classification. Complications were classified as minor (Clavien–Dindo Grades I–II) and major (Clavien–Dindo Grades III–IV), respectively. There was no Grade V complication. Results: Seventy-two cases developed complications in Group I: 26 with Clavien–Dindo Grade I, 29 with Grade II, 12 with Grade III, and 4 with Grade IV. The cases that developed complications in Group II, however, were lower at 48 cases: 15 with Clavien–Dindo Grade I, 17 with Grade II, 15 with Grade III, and 1 with Grade IV. Cases with minor Clavien–Dindo Grade (I–II) complications decreased significantly from Group I to Group II, at 55–32 patients (P = 0.0416). The transfusion rate was 1.1% in Group I, which was significantly higher than that in Group II at 0.1% (P = 0.0151). Conclusion: The assessment of the two groups indicated that the surgeon's learning curve for RALP improved with significantly fewer minor Clavien–Dindo Grade (I–II) group complications after 1000 surgeries.
机器人辅助腹腔镜前列腺根治术的并发症:2000例经验分享
目的:分享由一名外科医生治疗的2000名患者的机器人辅助腹腔镜前列腺根治术(RALP)并发症的经验。材料和方法:我们回顾性回顾了2005年12月至2020年9月期间接受RALP的2000名癌症患者(第一组,病例1–1000;第二组,病例1001–2000),以比较前1000名患者和后1000名患者的并发症。所有手术都由同一位经验丰富的外科医生进行。采用Clavien-Dindo分类法对围手术期并发症进行分类。并发症分别分为轻微(Clavien–Dindo I–II级)和严重(Clavien-Dindo III–IV级)。无V级并发症。结果:I组72例出现并发症:Clavien-Dindo I级26例,II级29例,III级12例,IV级4例。然而,II组出现并发症的病例较少,为48例:Clavien–Dindo I期15例,II期17例,III期15例和IV级1例。从第一组到第二组,轻微Clavien-Dindo级(I-II)并发症的病例显著减少,为55-32例(P=0.0416)。第一组的输血率为1.1%,显著高于第二组0.1%(P=0.0151)。结论:两组的评估表明,1000例手术后,外科医生对RALP的学习曲线得到改善,Clavien–Dindo等级(I–II)组的轻微并发症显著减少。
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来源期刊
Urological Science
Urological Science UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
26
审稿时长
6 weeks
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