Literature DB >> 24554675

A rare aetiology for increased drain output following a robotic-assisted prostatectomy.

Kimberley Hoyland1, Nikhil Vasdev, Greg Boustead.   

Abstract

Robotic prostatectomies are being performed increasingly, with greater visualisation and improved precision, resulting in fewer postoperative complications. Despite advances in surgical techniques, drain output still remains one of the first signs of potential complications. We present the case of an iatrogenic cause for high drain output postoperatively, in order to highlight the potential problems of the drain itself. A 69-year-old man presented with a pelvic drain output of over 2 L a day as a result of the drain tip being placed at the site of the anastomosis. Here we discuss the rates of the three main causes of increased drain outputs following robotic prostatectomy, as well as highlighting the resulting complications. Overall, this case highlights the potential complications arising from the drain, which could potentially be avoided by either routine evaluation of the drain position postoperatively or by omitting the drain entirely if the anastomosis is performed well.

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Mesh:

Year:  2014        PMID: 24554675      PMCID: PMC3931975          DOI: 10.1136/bcr-2013-201685

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  15 in total

1.  Routine pelvic drainage not required after open or robotic radical prostatectomy.

Authors:  Satish Sharma; Hyung Lae Kim; James L Mohler
Journal:  Urology       Date:  2007-01-31       Impact factor: 2.649

2.  A pelvic drain can often be avoided after radical retropubic prostatectomy--an update in 552 cases.

Authors:  Motoo Araki; Murugesan Manoharan; Sachin Vyas; Alan M Nieder; Mark S Soloway
Journal:  Eur Urol       Date:  2006-06-08       Impact factor: 20.096

Review 3.  Prevention and management of perioperative complications in laparoscopic and endoscopic radical prostatectomy.

Authors:  Evangelos Liatsikos; Robert Rabenalt; Martin Burchardt; Miguel-Ramirez Backhaus; Minh Do; Anja Dietel; Johanna Wasserscheid; Costantinos Constantinides; Panagiotis Kallidonis; Michael C Truss; Thomas R Herrmann; Roman Ganzer; Jens-Uwe Stolzenburg
Journal:  World J Urol       Date:  2008-09-10       Impact factor: 4.226

4.  Editorial Comment to Risk factors for pelvic lymphoceles post-radical prostatectomy.

Authors:  Umberto Capitanio; Nazareno Suardi; Francesco Montorsi; Alberto Briganti
Journal:  Int J Urol       Date:  2011-09       Impact factor: 3.369

5.  Early complication rates in a single-surgeon series of 2500 robotic-assisted radical prostatectomies: report applying a standardized grading system.

Authors:  Rafael F Coelho; Kenneth J Palmer; Bernardo Rocco; Ravendra R Moniz; Sanket Chauhan; Marcelo A Orvieto; Geoff Coughlin; Vipul R Patel
Journal:  Eur Urol       Date:  2010-02-13       Impact factor: 20.096

6.  Risk factors for pelvic lymphoceles post-radical prostatectomy.

Authors:  Wael Y Khoder; Matthias Trottmann; Alexander Buchner; Andrea Stuber; Sabine Hoffmann; Christian G Stief; Armin J Becker
Journal:  Int J Urol       Date:  2011-06-20       Impact factor: 3.369

7.  Perioperative complications of laparoscopic and robotic assisted laparoscopic radical prostatectomy.

Authors:  Jim C Hu; Rebecca A Nelson; Timothy G Wilson; Mark H Kawachi; S Adam Ramin; Clayton Lau; Laura E Crocitto
Journal:  J Urol       Date:  2006-02       Impact factor: 7.450

8.  Comparison of length of hospital stay between radical retropubic prostatectomy and robotic assisted laparoscopic prostatectomy.

Authors:  Bradford Nelson; Melissa Kaufman; Gregory Broughton; Michael S Cookson; Sam S Chang; S Duke Herrell; Roxelyn G Baumgartner; Joseph A Smith
Journal:  J Urol       Date:  2007-03       Impact factor: 7.450

9.  Complications associated with extraperitoneal robot-assisted radical prostatectomy using the standardized Martin classification.

Authors:  Ahmed Ghazi; Emelian Scosyrev; Hitendra Patel; Edward M Messing; Jean V Joseph
Journal:  Urology       Date:  2013-02       Impact factor: 2.649

10.  Robot-assisted laparoscopic prostatectomy: the first 100 patients-improving patient safety and outcomes.

Authors:  Alice K Tsao; Marc D Smaldone; Timothy D Averch; Stephen V Jackman
Journal:  J Endourol       Date:  2009-03       Impact factor: 2.942

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  1 in total

Review 1.  Review of the use of prophylactic drain tubes post-robotic radical prostatectomy: Dogma or decent practice?

Authors:  Tatenda C Nzenza; Simeon Ngweso; Renu Eapen; Nieroshan Rajarubendra; Damien Bolton; Declan Murphy; Nathan Lawrentschuk
Journal:  BJUI Compass       Date:  2020-06-09
  1 in total

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