Robot Assisted Radical Prostatecomy and Positional Injury; 8 Years Survey
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Peripheral Nerve Injuries
- Sponsor
- Umraniye Education and Research Hospital
- Enrollment
- 450
- Locations
- 1
- Primary Endpoint
- retrospective examination of postoperative positional injury (PPI) in patients undergoing robot-assisted radical prostatectomy (RARP) for prostate diagnosis
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
Although a condition for surgery, robotic interventions applied with steep Trendelenburg-lithotomy (ST-L) position may cause positional injury and peripheral neuropathy if good position is not achieved on the operating table. This study will be a 7-year retrospective examination of postoperative positional injury (PPI) in patients undergoing robot-assisted radical prostatectomy (RARP) for prostate diagnosis.
Detailed Description
Patients who underwent RARP between 2008-2014 will be evaluate. Patients with known peripheral neuropathy, lumbar-cervical discopathy, or history of orthopaedic surgery or trauma will exclude. The demographic data of patients, ASA, Charlson Comorbidity Index (CMI), Body Mass Index (BMI), operating time (OT) and Trendelenburg time (TT) will obtain from patient records. Patients will be questioned as to whether or not PPI had developed, if so, in which extremity, in what form (sensory-motor), duration, whether or not a doctor had been consulted, if so, what treatment had been given and whether or not the PPI had continued.
Investigators
Gulsah Karaoren
MD
Umraniye Education and Research Hospital
Eligibility Criteria
Inclusion Criteria
- •Patients undergoing robot-assisted radical prostatectomy (RARP) for prostate diagnosis.
Exclusion Criteria
- •Patients with known peripheral neuropathy,
- •Lumbar-cervical discopathy,
- •History of orthopaedic surgery or
- •Trauma were excluded
Outcomes
Primary Outcomes
retrospective examination of postoperative positional injury (PPI) in patients undergoing robot-assisted radical prostatectomy (RARP) for prostate diagnosis
Time Frame: 7 years
The ST-L position carries high risk in terms of PPI, especially when lengthy surgery is planned and the risk could be increased in patients with high BMI.