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Impact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy: single center experience

PURPOSE: To evaluate the influence of prior abdominal surgery on the outcomes after robotic-assisted laparoscopic radical prostatectomy (RALP). MATERIALS AND METHODS: We retrospectively analyzed patients with prostate cancer who underwent RALP between June 2012 and February 2015 at our institution....

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Autores principales: Kishimoto, Nozomu, Takao, Tetsuya, Yamamichi, Gaku, Okusa, Takuya, Taniguchi, Ayumu, Tsutahara, Koichi, Tanigawa, Go, Yamaguchi, Seiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Urologia 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5066887/
https://www.ncbi.nlm.nih.gov/pubmed/27622285
http://dx.doi.org/10.1590/S1677-5538.IBJU.2015.0607
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author Kishimoto, Nozomu
Takao, Tetsuya
Yamamichi, Gaku
Okusa, Takuya
Taniguchi, Ayumu
Tsutahara, Koichi
Tanigawa, Go
Yamaguchi, Seiji
author_facet Kishimoto, Nozomu
Takao, Tetsuya
Yamamichi, Gaku
Okusa, Takuya
Taniguchi, Ayumu
Tsutahara, Koichi
Tanigawa, Go
Yamaguchi, Seiji
author_sort Kishimoto, Nozomu
collection PubMed
description PURPOSE: To evaluate the influence of prior abdominal surgery on the outcomes after robotic-assisted laparoscopic radical prostatectomy (RALP). MATERIALS AND METHODS: We retrospectively analyzed patients with prostate cancer who underwent RALP between June 2012 and February 2015 at our institution. Patients with prior abdominal surgery were compared with those without prior surgery while considering the mean total operating, console, and port-insertion times; mean estimated blood loss; positive surgical margin rate; mean duration of catheterization; and rate of complications. RESULTS: A total of 203 patients who underwent RALP during the study period were included in this study. In all, 65 patients (32%) had a prior history of abdominal surgery, whereas 138 patients (68%) had no prior history. The total operating, console, and port-insertion times were 328 and 308 (P=0.06), 252 and 242 (P=0.28), and 22 and 17 minutes (P=0.01), respectively, for patients with prior and no prior surgery. The estimated blood losses, positive surgical margin rates, mean durations of catheterization, and complication rates were 197 and 170 mL (P=0.29), 26.2% and 20.2% (P=0.32), 7.1 and 6.8 days (P=0.74), and 12.3% and 8.7% (P=0.42), respectively. Furthermore, whether prior abdominal surgery was performed above or below the umbilicus or whether single or multiple surgeries were performed did not further affect the perioperative outcomes. CONCLUSIONS: Our results suggest that RALP can be performed safely in patients with prior abdominal surgery, without increasing the risk of complications.
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spelling pubmed-50668872016-10-20 Impact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy: single center experience Kishimoto, Nozomu Takao, Tetsuya Yamamichi, Gaku Okusa, Takuya Taniguchi, Ayumu Tsutahara, Koichi Tanigawa, Go Yamaguchi, Seiji Int Braz J Urol Original Article PURPOSE: To evaluate the influence of prior abdominal surgery on the outcomes after robotic-assisted laparoscopic radical prostatectomy (RALP). MATERIALS AND METHODS: We retrospectively analyzed patients with prostate cancer who underwent RALP between June 2012 and February 2015 at our institution. Patients with prior abdominal surgery were compared with those without prior surgery while considering the mean total operating, console, and port-insertion times; mean estimated blood loss; positive surgical margin rate; mean duration of catheterization; and rate of complications. RESULTS: A total of 203 patients who underwent RALP during the study period were included in this study. In all, 65 patients (32%) had a prior history of abdominal surgery, whereas 138 patients (68%) had no prior history. The total operating, console, and port-insertion times were 328 and 308 (P=0.06), 252 and 242 (P=0.28), and 22 and 17 minutes (P=0.01), respectively, for patients with prior and no prior surgery. The estimated blood losses, positive surgical margin rates, mean durations of catheterization, and complication rates were 197 and 170 mL (P=0.29), 26.2% and 20.2% (P=0.32), 7.1 and 6.8 days (P=0.74), and 12.3% and 8.7% (P=0.42), respectively. Furthermore, whether prior abdominal surgery was performed above or below the umbilicus or whether single or multiple surgeries were performed did not further affect the perioperative outcomes. CONCLUSIONS: Our results suggest that RALP can be performed safely in patients with prior abdominal surgery, without increasing the risk of complications. Sociedade Brasileira de Urologia 2016 /pmc/articles/PMC5066887/ /pubmed/27622285 http://dx.doi.org/10.1590/S1677-5538.IBJU.2015.0607 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kishimoto, Nozomu
Takao, Tetsuya
Yamamichi, Gaku
Okusa, Takuya
Taniguchi, Ayumu
Tsutahara, Koichi
Tanigawa, Go
Yamaguchi, Seiji
Impact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy: single center experience
title Impact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy: single center experience
title_full Impact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy: single center experience
title_fullStr Impact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy: single center experience
title_full_unstemmed Impact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy: single center experience
title_short Impact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy: single center experience
title_sort impact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy: single center experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5066887/
https://www.ncbi.nlm.nih.gov/pubmed/27622285
http://dx.doi.org/10.1590/S1677-5538.IBJU.2015.0607
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