Is abdominal wall hemorrhage an avoidable complication of robotic radical prostatectomy?

Is abdominal wall hemorrhage an avoidable complication of robotic radical prostatectomy?

Aim: We presented the diagnosis and treatment of patients with abdominal wall hemorrhage after robot-assisted laparoscopicradical prostatectomy (RALRP) in a high volume center.Materials and Methods: We retrospectively screened the data of 1950 patient RALRP series performed between June 2010 andDecember 2019 in our clinic. Patients who developed postoperative abdominal wall hemorrhage were included in the current study.The diagnosis of abdominal wall hemorrhage was established by ultrasonographic and physical examination findings.Results: In our 1950 patient RALRP series, 15 (0.7%) patients developed abdominal wall hemorrhage. The mean decrease inhemoglobin values was 3.9 (2.8-4.7) g/dl at postoperative 6th hour. On the postoperative 2nd day, areas of ecchymosis were observedon the abdominal wall skin. On the postoperative 4th day, hemoglobin level was stabilized. Blood transfusion was required for 8 of15 patients. None of the patients required surgical exploration. At the postoperative 1st month control visits, we observed that theecchymosis was completely disappeared.Conclusion: RALRP is a surgical technique that has been increasingly preferred in the treatment of localized prostate cancer.Abdominal wall hemorrhage is a rarely seen complication of RALRP that may be avoided by paying attention to some anatomicallandmarks and optimizing the blood level of muscle relaxant medications at an effective dose. As a rerely seen complication ofRALRP, abdominal wall hemorrhage can be successfully managed without the need for explorative surgery.

___

  • 1. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018;68:394-424.
  • 2. Yaxley JW, Coughlin GD, Chambers SK, et al. Robotassisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: early outcomes from a randomised controlled phase 3 study. The Lancet 2016;388:1057-66.
  • 3. Karabulut I, Yilmazel FK, Yilmaz AH, et al. Robotassisted laparoscopic radical prostatectomy: A single center initial experience. Ann Intern Med 2019;26: 2743-7.
  • 4. Koc E, Canda AE . Robotic urologic surgery complications. MIS J 2018; 2: 7.
  • 5. Tasci AI, Simsek A, Tugcu V, et al. Abdominal wall haemorrhage after robotic-assisted radical prostatectomy: Is it a complication of robotic surgery?. ActasUrol Esp 2013; 37:634-9.
  • 6. Fischer B, Engel N, Fehr JL, et al. Complications of robotic assisted radical prostatectomy. World J Urol 2008;26:595-602.
  • 7. Tewari A, Sooriakumaran P, Bloch DA, et al. Positive surgical margin and perioperative complication rates of primary surgical treatments for prostate cancer: a systematic review and meta-analysis comparing retropubic, laparoscopic, and robotic prostatectomy. Eur Urol 2012;62:1-15.
  • 8. Pridgeon S, Bishop CV, Adshead J. Lower limb compartment syndrome as a complication of robotassisted radical prostatectomy: the UK experience. BJU Int 2013;112:485-8.
  • 9. Kan KM, Brown SE, Gainsburg DM. Ocular complications in robotic-assisted prostatectomy: a review of pathophysiology and prevention. Minerva Anestesiol, 2015;81:557-66.
  • 10. Bjøro B, Mykkeltveit I, Rustøen T. Intraoperative peripheral nerve injury related to lithotomy positioning with steep Trendelenburg in patients undergoing robotic-assisted laparoscopic surgery–a systematic review. J Adv Nurs 2020;76:490-503.
  • 11. Stolzenburg JU, Rabenalt R, Do M, et al. Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): prevention and management. World J Urol 2006;24:668-75.
  • 12. Zorn KC, Gofrit ON, Orvieto MA, et al. Da Vinci robot error and failure rates: single institution experience on a single three-arm robot unit of more than 700 consecutive robot-assisted laparoscopic radical prostatectomies. J Endourol 2007;21:1341-4.
  • 13. Badani KK, Kaul S, Menon M. Evolution of robotic radical prostatectomy: assessment after 2766 procedures. Cancer 2007;110:1951-8.
  • 14. Patel VR, Thaly R, Shah K. Robotic radical prostatectomy: outcomes of 500 cases. BJU Int 2007;99:1109-12.
  • 15. Novara G, Ficarra V, D’Elia C, et al. (2010). Prospective evaluation with standardised criteria for postoperative complications after robotic-assisted laparoscopic radical prostatectomy. Eur Urol 2010;57:363-70.
  • 16. Bhoyrul S, Vierra MA, Nezhat CR, et al. Trocar injuries in laparoscopic surgery. J Am Coll Surg 2001;192:677- 83.
  • 17. Hashizume M, Sugimachi K. Needle and trocar injury during laparoscopic surgery in Japan. Surg Endosc 1997; 11:1198–201.
  • 18. Bhattacharya S, Tate JJT, Davidson BR, et al. Abdominal wall haematoma complicating laparoscopic cholecystectomy. HPB Surgery 1994;7:291-6.
  • 19. Marcovici I. Significant abdominal wall hematoma from an umbilical port insertion. JSLS 2001;5:293.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Labor and birth outcomes in term low-risk adolescent pregnancies

Şevki ÇELEN, Ümit Yasemin SERT DİNÇ, Gül Nihal BÜYÜK, Mete Can ATEŞ, Hasan Onur TOPÇU, Zeynep Aslı OSKOVİ KAPLAN

Effective treatment and good cosmetic results in the treatment of pilonidal sinus disease; Comparison of four surgical methods

Remzi AKTÜRK, Serdar SERİNÖZ

Refractive results, visual quality and patient satisfaction with a new trifocal intraocular lens design

Hasan Basri ARİFOĞLU, Serdar ÖZATEŞ, Başak BOSTANCI CERAN, Emin Emrullah TAŞINDI

Oral mucous membrane condition of the patients with chronic obstructive pulmonary disease and the measures taken for the protection

Derya TÜLÜCE, Sevinç KUTLUTÜRKAN, Emine KAPLAN SERİN

The effect of growth hormone deficiency on inflammatory markers in Sheehan's syndrome

Ayşegül SAKİN, Saliha YILDIZ, Murat ALAY, Gülçin Miyase SÖNMEZ

Neonatal COVID-19 case from Turkey; a Case report of neonatal

İsmail Kürşad GÖKÇE, Mehmet Fatih DEVECİ, Ramazan ÖZDEMİR

The impact of tumor localization on prognosis of the patients following liver transplantation for hepatocellular carcinoma

Talha SARIGÖZ, Tevfik Tolga ŞAHİN, Adil BAŞKIRAN, Volkan İNCE, Sertaç USTA

Effects of laparoscopy and laparotomy on stress and hemodynamics in experimental sepsis model in rats

Mustafa Gökhan ÜNSAL, Eyüp Murat YILMAZ, Erdem Barış CARTI, Çiğdem YENİŞEY, Ulaş Utku ŞEKERCİ

Comparison of simple discectomy and uninstrumented lumbar interbody fusion in patients with lumbar disc herniation

Özkan ÖZGER, Necati KAPLAN

Dermatofibrosarcoma protuberans: An unusual case of breast

Kazım GEMİCİ, Ramazan GÜNDOĞDU