Cardiovascular Disease and Chronic Pulmonary Disease Increase the Risk of Short-Term Major Postoperative Complications after Robotic-Assisted Radical Prostatectomy.
Medicina (Kaunas)
; 60(1)2024 Jan 18.
Article
de En
| MEDLINE
| ID: mdl-38256433
ABSTRACT
Background and objectives:
Certain comorbidities may be associated with a higher risk of complications after robotic-assisted radical prostatectomy. Material andMethods:
Relying on a tertiary care database, we identified robotic-assisted radical prostatectomy patients (January 2014-March 2023). Short-term major postoperative complications were defined according to Clavien Dindo as ≥IIIa within 30 days after robotic-assisted radical prostatectomy.Results:
Of 1148 patients, the rates of postoperative Clavien Dindo IIIa, Clavien Dindo IIIb, Clavien Dindo IVa, and Clavien Dindo IVb complications were 3.3%, 1.4%, 0.3%, and 0.2%, respectively. Of those, 28 (47%) had lymphoceles, and 8 (13%) had bleeding-associated complications. Patients with cardiovascular disease (8 vs. 4%) or chronic pulmonary disease (13 vs. 5%) were more likely to have complications. In multivariable logistic regression models, cardiovascular disease (odds ratio 1.78; p = 0.046) and chronic pulmonary disease (odds ratio 3.29; p = 0.007) remained associated with an increased risk of postoperative complications.Conclusions:
Complications after robotic-assisted radical prostatectomy are predominantly manageable without anesthesia. Concomitant cardiovascular disease and chronic pulmonary disease were both associated with a higher risk of postoperative complications.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Maladies cardiovasculaires
/
Interventions chirurgicales robotisées
/
Maladies pulmonaires
Type d'étude:
Etiology_studies
/
Risk_factors_studies
Limites:
Humans
/
Male
Langue:
En
Journal:
Medicina (Kaunas)
Sujet du journal:
MEDICINA
Année:
2024
Type de document:
Article
Pays d'affiliation:
Allemagne