Robotic re-exploration for post-operative in house complications following robotic pelvic uro-oncologic surgery: Initial experience, tips and tricks

Robotic re-exploration for post-operative in house complications following robotic pelvic uro-oncologic surgery: Initial experience, tips and tricks

Blog Article

Purpose: Despite widespread acceptance of robotics in urology, literature on using the minimally invasive Carbon storage simulation and analysis in Beijing-Tianjin-Hebei region based on CA-plus model under dual-carbon background approach for management of post robotic surgical complications is limited.Here we describe our experience with tips and tricks for robotic re-exploration of post-operative in house complications following robotic pelvic uro-oncologic surgery.Methods: A retrospective query of prospectively maintained database was done for all patients who underwent robotic - radical cystoprostatectomy (RCP, 437 patients) and radical prostatectomy (RP, 649 patients), from Jan 2015 or March 2021.Clinical details were collected for all who underwent a second robotic procedure during the same hospital admission for any complication related to the primary surgery.

Results: Following RCP, 5 patients were re-explored for intestinal obstruction.Surgery was successfully completed in all with a median console time of 80 minutes.Median time to the passage of flatus and discharge from hospital following relook surgery was 3 and 6 days, respectively.Following RP, 3 patients underwent robotic re-exploration (two for reactionary hemorrhage, one for rectal injury).

All three cases were managed with a median console time of 75 minutes.Robotic re-exploration was accomplished without extending the skin incision of the index surgery and we did not find an increased incidence of infectious or wound related complications.Conclusion: Robotic re-exploration for select post robotic urologic pelvic oncology surgery complications in the immediate and early post-operative period is feasible in the hands of experienced surgeons.Our Inter- and transdisciplinary scenario construction to explore future land-use options in southern Amazonia experience can help others adopt robotics in such scenarios.