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 89
- Downloads 0
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...
Timing of radical cystectomy in Central Europe – multicenter study on factors influencing the time from diagnosis to radical treatment of bladder cancer patients
Introduction Time that passes between an unfavourable diagnosis to a radical cystectomy (RC) affects oncological outcomes in patients with bladder cancer. Unsatisfactory survival of patients after RC in Central Europe ca...
Features of diagnostics and treatment of partial androgen deficiency of aging men
Introduction Decreasing of testosterone level is an important part of a male elderly. Material and methods To describe this phenomenon a PubMed and national databases were searched for 17β–dehydrotestosterone, common tes...
Lower urinary tract symptoms and their severity in men subjected to prostate biopsy
Introduction Lower urinary tract symptoms (LUTS) are one of most frequent complaints among men over 50 years of age. They usually result from benign prostate hyperplasia, which often coexists with cancer. The aim of the...
Cystolithiasis in women as a distant complication after minimal invasive treatment of stress urinary incontinence
Introduction Stress urinary incontinence (SUI) is a condition of social dimension which generally pertains to women of various age. The only effective treatments of SUI are surgical procedures. The use of tension-free va...