Bhandari Akshay, McIntire Linda, Kaul Sanjeev A, Hemal Ashok K, Peabody James O, Menon Mani
Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan 48202, USA.
J Urol. 2005 Sep;174(3):915-8. doi: 10.1097/01.ju.0000169458.96014.f8.
We assessed the incidence of and analyzed factors that contributed to perioperative complications in patients undergoing robotic radical prostatectomy, that is Vattikuti Institute prostatectomy (VIP), at our institution.
We recorded operative and postoperative data on 300 consecutive patients who underwent VIP at our institution during a 1-year period. All operations were performed by 1 of 2 surgeons (MM or JOP). We reviewed the complications seen in these patients.
There was no operative mortality and no case was converted to open surgery. A total of 269 (89.7%) patients were considered to have an ideal postoperative course, ie they were discharged home within 48 hours with no unscheduled office visits or complications. There were 14 unscheduled postoperative visits (4.7%) for transient urinary retention after early catheter removal (13) or hematuria (1). There were 17 complications, of which 16 (5.3%) were related to surgery and 1 was related to anesthesia. A total of 11 complications (3.7%) were minor (grade I) and 5 (1.7%) were major (grade II). Of them 3 (1%) patients required reoperation. There were no grade III or IV complications.
In our hands VIP is a safe operation with an overall complication rate of 5.3%, a major complication rate of less than 2% and a surgical re-intervention rate of 1%.
我们评估了在我院接受机器人根治性前列腺切除术（即瓦提库蒂研究所前列腺切除术，VIP）患者围手术期并发症的发生率，并分析了导致这些并发症的因素。
我们记录了在1年期间于我院连续接受VIP手术的300例患者的手术及术后数据。所有手术均由两名外科医生（MM或JOP）中的一位完成。我们回顾了这些患者出现的并发症。
无手术死亡病例，也无病例转为开放手术。共有269例（89.7%）患者被认为术后恢复理想，即他们在48小时内出院，无需进行非计划的门诊就诊或出现并发症。有14例（4.7%）非计划的术后门诊就诊，原因是早期拔除导尿管后出现短暂性尿潴留（13例）或血尿（1例）。共有17例并发症，其中16例（5.3%）与手术相关，1例与麻醉相关。共有11例并发症（3.7%）为轻度（I级），5例（1.7%）为重度（II级）。其中3例（1%）患者需要再次手术。无III级或IV级并发症。
在我们手中，VIP手术是安全的，总体并发症发生率为5.3%，重度并发症发生率低于2%，手术再次干预率为1%。
