Complications of Robotic Surgery in Urology: Our Experience of 342 Procedures Including the Learning Curve
Journal Title: JOURNAL OF UROLOGICAL SURGERY - Year 2018, Vol 5, Issue 4
Abstract
Objective: The aim of this study is to analyze the complications of all robot-assisted surgeries performed in our clinic and to investigate the effect of the learning curve on complications occurred. Materials and Methods: Data on a total of 342 robotic surgeries performed in our clinic between March 2015 and February 2018 was retrospectively analyzed. Two surgeons, who performed the surgery, were experienced in urological laparoscopic procedures. Intraoperative and postoperative complications were evaluated. According to the experience of robotic surgery, the complications were divided into two groups as those occurred in the first 18 months (March 2015-August 2016) and in the second 18 months (September 2016-February 2018). The complications were classified according to the Clavien-Dindo classification. Results: A total of 32 complications occurred in 31 of 342 patients undergoing robot-assisted surgery. The overall complication rate was 9.4%. The number of minor complications was 20 (62.5%), and the number of major complications was 12 (37.5%). Among all, 6.2% were intraoperative complications, 62.5% were postoperative complications, and 31.3% were medical complications. It was observed that the number of complications was plateaued after August 2016 and there was a statistically significant difference between the first and the second 18 months (p<0.05). Conclusion: Laparoscopic surgery experience alone is not enough to reduce complications in robot-assisted surgery and learning continues with every case. An experienced surgeon and robotic surgery team are needed for complex robotic surgeries.
Authors and Affiliations
Ekrem İslamoğlu, Hakan Anıl, Kaan Karamık, Yasin Aktaş, Ali Yıldız, Mutlu Ateş, Murat Savaş
Keywords
Related Articles
- EP ID EP421314
- DOI 10.4274/jus.2148
- Views 93
- Downloads 0
Re: Collagenase Clostridium Histolyticum for the Treatment of Peyronie’s Disease: A Prospective Italian Multicentric Study
.
Re: Activated Omentum Slows Progression of CKD
.
A Stranger in the Epididymis: Ectopic Spleen
Splenogonadal fusion, which can be clinically confused with testicular neoplasms as they present with testicular swelling, is a rare abnormality in young adults. Intraoperative frozen section analysis can be helpful in d...
An Overview of Image-Guided Percutaneous Microwave Ablation of Renal Cell Carcinoma
Renal cell carcinoma (RCC) accounts for approximately 3% of malignancies and 80-90% of malignant neoplasms of the kidney in adults. The incidence of RCC continues to increase. Due to widespread use of cross-sectional ima...
Extrarenal Retroperitoneal Angiomyolipoma: A Rare Case
Angiomyolipomas are benign tumors consisting of smooth muscles, vessels, and fat tissue. They are generally located on the kidneys; extrarenal angiomyolipoma is rare. Apart from the kidneys, angiomyolipomas are seldom lo...