The incidence of postoperative ileus in patients who underwent robotic assisted radical prostatectomy
Journal Title: Central European Journal of Urology - Year 2014, Vol 67, Issue 1
Abstract
Introduction Our aim was to examine the incidence and risk factors of postoperative ileus among patients who underwent robot–assisted radical prostatectomy (RARP). Material and methods We retrospectively reviewed 239 patients who underwent RARP transperitoneally between February 2009 and December 2011. Patients switched to open surgery were excluded. We defined postoperative ileus as intolerance of a solid diet continued until the third postoperative day and beyond. By Clavien classification, we evaluated the perioperative complications that cause or contribute to postoperative ileus. Similarly, we analyzed the impact of anesthesia risk score on the incidence of postoperative ileus. Results The study included 228 patients. The mean period to tolerate solid food was 1.24 days. Only 6 patients experienced postoperative ileus, all of whom were treated with a conservative approach. The two groups differed significantly in the duration of abdominal drainage, hospital stay, modified Clavien classification, and the presence of comorbidity diabetes mellitus (P <0.5 for all factors). Multiple logistic regression analysis revealed that diabetes mellitus was an independent risk factor for postoperative ileus. Conclusions We suggest that diabetes mellitus is an independent risk factor for postoperative ileus in patients undergoing robot–assisted radical prostatectomy.
Authors and Affiliations
Ahmet Tunc Ozdemir, Serkan Altinova Altinova, Hakan Koyuncu Koyuncu, Ege Can Serefoglu Serefoglu, Ibrahim Haci Cimen, Derya Mevlana Balba
Role of morphometry and proliferative parameters in grading of urothelial neoplasms
Introduction Mean nuclear area of 10 nuclei (MNA–10), mitotic activity index (MAI) and Ki–67 are highly reproducible and can be routinely used as adjuncts to histopathological grading in classifying tumors. Assays of th...
The significance of premature ejaculation
Editorial.
Usage of invisible near infrared light (NIR) fluorescence with indocyanine green (ICG) and methylene blue (MB) in urological oncology. Part 1
Introduction Near infrared (NIR) technology has recently garnered much interest as a tool for intraoperative image–guided surgery in various surgical sub–disciplines. In urology, although nascent, NIR technology is also...
Management and follow up of extra–adrenal phaeochromocytoma
Introduction The prevalence of phaeochromocytoma (PCC) in patients with hypertension is 0.1–0.6% and about 10% of PCCs are detected in extra–adrenal tissue. The diagnosis and therapy of this rare disease detected as a re...
Knowledge about human papillomavirus and the human papillomavirus vaccine in Belgian students
Introduction The aim of this study was to examine the knowledge of Belgian university students about the human papillomavirus (HPV) and HPV–vaccination. Material and methods During a period of two months we administered...