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Complications in robotic urological surgeries and how to avoid them: A systematic review
OBJECTIVES: To review the main complications related to the robot-assisted laparoscopic (RAL) approach in urology and to suggest measures to avoid such issues. METHODS: A systematic search for articles of the contemporary literature was performed in PubMed database for complications in RAL urologica...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104661/ https://www.ncbi.nlm.nih.gov/pubmed/30140463 http://dx.doi.org/10.1016/j.aju.2017.11.005 |
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author | Tourinho-Barbosa, Rafael Rocha Tobias-Machado, Marcos Castro-Alfaro, Adalberto Ogaya-Pinies, Gabriel Cathelineau, Xavier Sanchez-Salas, Rafael |
author_facet | Tourinho-Barbosa, Rafael Rocha Tobias-Machado, Marcos Castro-Alfaro, Adalberto Ogaya-Pinies, Gabriel Cathelineau, Xavier Sanchez-Salas, Rafael |
author_sort | Tourinho-Barbosa, Rafael Rocha |
collection | PubMed |
description | OBJECTIVES: To review the main complications related to the robot-assisted laparoscopic (RAL) approach in urology and to suggest measures to avoid such issues. METHODS: A systematic search for articles of the contemporary literature was performed in PubMed database for complications in RAL urological procedures focused on positioning, access, and operative technique considerations. Each complication topic is followed by recommendations about how to avoid it. RESULTS: In all, 40 of 253 articles were included in this analysis. Several complications in RAL procedures can be avoided if the surgical team follows some key steps. Adequate patient positioning must avoid skin, peripheral nerve, and muscles injuries, and ocular and cognitive complications mainly related to steep Trendelenburg positioning in pelvic procedures. Port-site access and closure should not be neglected during minimally invasive procedures as these complications although rare can be troublesome. Technique-related complications depend on surgeon experience and the early learning curve should be monitored. CONCLUSIONS: Adequate patient selection, surgical positioning, mentorship training, and avoiding long-lasting procedures are essential to prevent RAL-related complications. The robotic surgical team must be careful and work together to avoid possible complications. This review offers several steps in surgical planning to reach this goal. |
format | Online Article Text |
id | pubmed-6104661 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-61046612018-08-23 Complications in robotic urological surgeries and how to avoid them: A systematic review Tourinho-Barbosa, Rafael Rocha Tobias-Machado, Marcos Castro-Alfaro, Adalberto Ogaya-Pinies, Gabriel Cathelineau, Xavier Sanchez-Salas, Rafael Arab J Urol Setting the Scene OBJECTIVES: To review the main complications related to the robot-assisted laparoscopic (RAL) approach in urology and to suggest measures to avoid such issues. METHODS: A systematic search for articles of the contemporary literature was performed in PubMed database for complications in RAL urological procedures focused on positioning, access, and operative technique considerations. Each complication topic is followed by recommendations about how to avoid it. RESULTS: In all, 40 of 253 articles were included in this analysis. Several complications in RAL procedures can be avoided if the surgical team follows some key steps. Adequate patient positioning must avoid skin, peripheral nerve, and muscles injuries, and ocular and cognitive complications mainly related to steep Trendelenburg positioning in pelvic procedures. Port-site access and closure should not be neglected during minimally invasive procedures as these complications although rare can be troublesome. Technique-related complications depend on surgeon experience and the early learning curve should be monitored. CONCLUSIONS: Adequate patient selection, surgical positioning, mentorship training, and avoiding long-lasting procedures are essential to prevent RAL-related complications. The robotic surgical team must be careful and work together to avoid possible complications. This review offers several steps in surgical planning to reach this goal. Elsevier 2017-12-14 /pmc/articles/PMC6104661/ /pubmed/30140463 http://dx.doi.org/10.1016/j.aju.2017.11.005 Text en © 2017 Production and hosting by Elsevier B.V. on behalf of Arab Association of Urology. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Setting the Scene Tourinho-Barbosa, Rafael Rocha Tobias-Machado, Marcos Castro-Alfaro, Adalberto Ogaya-Pinies, Gabriel Cathelineau, Xavier Sanchez-Salas, Rafael Complications in robotic urological surgeries and how to avoid them: A systematic review |
title | Complications in robotic urological surgeries and how to avoid them: A systematic review |
title_full | Complications in robotic urological surgeries and how to avoid them: A systematic review |
title_fullStr | Complications in robotic urological surgeries and how to avoid them: A systematic review |
title_full_unstemmed | Complications in robotic urological surgeries and how to avoid them: A systematic review |
title_short | Complications in robotic urological surgeries and how to avoid them: A systematic review |
title_sort | complications in robotic urological surgeries and how to avoid them: a systematic review |
topic | Setting the Scene |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104661/ https://www.ncbi.nlm.nih.gov/pubmed/30140463 http://dx.doi.org/10.1016/j.aju.2017.11.005 |
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