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...

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Autores principales:	Rafael Rocha Tourinho-Barbosa, Marcos Tobias-Machado, Adalberto Castro-Alfaro, Gabriel Ogaya-Pinies, Xavier Cathelineau, Rafael Sanchez-Salas
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/d01706bab5054ee8b3b8784b874e6c31
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spelling	oai:doaj.org-article:d01706bab5054ee8b3b8784b874e6c312021-12-02T09:51:22ZComplications in robotic urological surgeries and how to avoid them: A systematic review2090-598X10.1016/j.aju.2017.11.005https://doaj.org/article/d01706bab5054ee8b3b8784b874e6c312018-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17301390https://doaj.org/toc/2090-598XObjectives: 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. Keywords: Surgical complications, Robotic surgery, Minimally invasive surgery, Radical prostatectomyRafael Rocha Tourinho-BarbosaMarcos Tobias-MachadoAdalberto Castro-AlfaroGabriel Ogaya-PiniesXavier CathelineauRafael Sanchez-SalasTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 3, Pp 285-292 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Rafael Rocha Tourinho-Barbosa Marcos Tobias-Machado Adalberto Castro-Alfaro Gabriel Ogaya-Pinies Xavier Cathelineau Rafael Sanchez-Salas Complications in robotic urological surgeries and how to avoid them: A systematic review
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. Keywords: Surgical complications, Robotic surgery, Minimally invasive surgery, Radical prostatectomy
format	article
author	Rafael Rocha Tourinho-Barbosa Marcos Tobias-Machado Adalberto Castro-Alfaro Gabriel Ogaya-Pinies Xavier Cathelineau Rafael Sanchez-Salas
author_facet	Rafael Rocha Tourinho-Barbosa Marcos Tobias-Machado Adalberto Castro-Alfaro Gabriel Ogaya-Pinies Xavier Cathelineau Rafael Sanchez-Salas
author_sort	Rafael Rocha Tourinho-Barbosa
title	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_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_sort	complications in robotic urological surgeries and how to avoid them: a systematic review
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/d01706bab5054ee8b3b8784b874e6c31
work_keys_str_mv	AT rafaelrochatourinhobarbosa complicationsinroboticurologicalsurgeriesandhowtoavoidthemasystematicreview AT marcostobiasmachado complicationsinroboticurologicalsurgeriesandhowtoavoidthemasystematicreview AT adalbertocastroalfaro complicationsinroboticurologicalsurgeriesandhowtoavoidthemasystematicreview AT gabrielogayapinies complicationsinroboticurologicalsurgeriesandhowtoavoidthemasystematicreview AT xaviercathelineau complicationsinroboticurologicalsurgeriesandhowtoavoidthemasystematicreview AT rafaelsanchezsalas complicationsinroboticurologicalsurgeriesandhowtoavoidthemasystematicreview
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Complications in robotic urological surgeries and how to avoid them: A systematic review

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