Moncada Ignacio, López Iñigo, Ascencios Julmar, Krishnappa Pramod, Subirá David
Head of Service. Urology and Robotic Surgery. University Hospital La Zarzuela. Francisco de Vitoria University. Associate Professor of Urology. Francisco de Vitoria University. Madrid. Spain.
Urology and Robotic Surgery. University Hospital La Zarzuela. Madrid. Spain.
Arch Esp Urol. 2019 Apr;72(3):266-276.
The urology community has adopted robot-assisted radical prostatectomy (RARP) as the most preferred surgical therapeutic approach in the management of localized prostate cancer. Safety and potential complications of RARP should be clearly known prior to attempting the surgery. The complications have been categorized as anesthesia & patient positioning related, vascular, non-vascular and delayed. European Associationof Urology guidelines recommend the use of Clavien-Dindo grading to report surgical complications.The median rate of over all complications of RARP is12.6%, with a range of 3.1-42%. Most of the complications are minor (Clavien-Dindo grades 1 and 2). With a dedicated approach, increasing experience, being aware of possible complications, and strict adherence to safety measures, most complications are preventable. RARP is a safe and reproducible technique.
泌尿外科界已将机器人辅助根治性前列腺切除术（RARP）作为局限性前列腺癌治疗中最首选的手术治疗方法。在尝试进行该手术之前，应清楚了解RARP的安全性和潜在并发症。这些并发症已被分为与麻醉和患者体位相关的、血管性的、非血管性的以及延迟性的。欧洲泌尿外科协会指南建议使用Clavien-Dindo分级来报告手术并发症。RARP总体并发症的中位发生率为12.6%，范围为3.1%-42%。大多数并发症为轻微并发症（Clavien-Dindo 1级和2级）。通过采用专门的方法、积累经验、了解可能的并发症并严格遵守安全措施，大多数并发症是可以预防的。RARP是一种安全且可重复的技术。
