Complications of robot assisted radical prostatectomy.

Journal: Archivos espanoles de urologia
Published Date:

Abstract

The urology community has adopted robot-assisted radical prostatectomy (RARP) as the most preferred surgical therapeutic approach in the management of localized prostate cancer. Safety and potential complications of RARP should be clearly known prior to attempting the surgery. The complications have been categorized as anesthesia & patient positioning related, vascular, non-vascular and delayed. European Associationof Urology guidelines recommend the use of Clavien-Dindo grading to report surgical complications.The median rate of over all complications of RARP is12.6%, with a range of 3.1-42%. Most of the complications are minor (Clavien-Dindo grades 1 and 2). With a dedicated approach, increasing experience, being aware of possible complications, and strict adherence to safety measures, most complications are preventable. RARP is a safe and reproducible technique.

Authors

  • Ignacio Moncada
    Head of Service. Urology and Robotic Surgery. University Hospital La Zarzuela. Francisco de Vitoria University. Associate Professor of Urology. Francisco de Vitoria University. Madrid. Spain.
  • Iñigo López
    Urology and Robotic Surgery. University Hospital La Zarzuela. Madrid. Spain.
  • Julmar Ascencios
    Urology and Robotic Surgery. University Hospital La Zarzuela. Madrid. Spain.
  • Pramod Krishnappa
    European Society of Sexual Medicine Fellow. University Hospital La Zarzuela. Madrid. Spain. Senior Registrar. Department of Urology. NU Hospitals. Bangalore. India.
  • David Subirá
    Co-Head Robotic and Laparoscopic Surgery. Department of Urology. University Hospital La Zarzuela. Madrid. Spain.