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
Keywords
Related Articles
- EP ID EP332490
- DOI 10.5173/ceju.2014.01.art4
- Views 85
- Downloads 0
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...
Quality of life related to urinary continence in adult spina bifida patients
Introduction To analyze the correlations of bladder management technique, ambulatory status and urologic reconstruction on quality of life (QOL) as affected by urinary symptoms in adult spina bifida (SB) patients. Mater...
A review of prospective Clinical Trials for neurogenic bladder: Pharmaceuticals
Introduction The neurogenic urinary bladder is defined as a dysfunctional bladder associated with a known neurological injury. We review the data from good quality clinical trials looking at drug therapy for the neurogen...
Diagnosis of extra-adrenal phaeochromocytoma after nephrectomy
This case describes a 50–yr–old man who was admitted to the Urology Ward upon the suspicion of a left kidney tumor. As part of the pre–operative check–up, an ultrasound and computed tomography of the kidneys were conduct...
Optimized management in patients with bladder cancer
Editorial