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Small bowel obstruction and abdominal pain after robotic versus open radical prostatectomy
Umea Univ, Dept Surg & Perioperat Sci, Urol & Androl, Umea, Sweden..
Reg Canc Ctr, Uppsala, Sweden..
NYU, Dept Urol & Populat Hlth, New York, NY USA.;NYU, Laura & Isaac Perlmutter Canc Ctr, New York, NY USA.;Manhattan Vet Affairs Med Ctr, New York, NY USA..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Urology.
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2016 (English)In: Scandinavian journal of urology, ISSN 2168-1805, E-ISSN 2168-1813, Vol. 50, no 3, p. 155-159Article in journal (Refereed) Published
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Abstract [en]

Objective: The aim of this study was to examine whether intraperitoneal robot-assisted surgery leads to small bowel obstruction (SBO), possibly caused by the formation of intra-abdominal adhesions.

Materials and methods: In total, 7256 men treated by intraperitoneal robot-assisted radical prostatectomy (RARP) and 9787 men treated by retropubic radical prostatectomy (RRP) in 2005-2012 were identified in the Prostate Cancer data Base Sweden (PCBaSe). Multivariable Cox proportional hazards models were used to calculate the risk of readmission for SBO, SBO-related surgery and admissions due to abdominal pain up to 5 years postoperatively.

Results: During the first postoperative year, the risk of readmission for SBO was higher after RARP than after RRP [hazard ratio (HR) 1.92, 95% confidence interval (CI) 1.14-3.25] but after 5 years there was no significant difference (HR 1.28, 95% CI 0.86-1.91), and there was no difference in the risk of SBO surgery during any period. The risk of admission for abdominal pain was significantly increased after RARP during the first year (HR 2.24, 95% CI 1.50-3.33) but not after 5 years (HR 1.23, 95% CI 0.92-1.63).

Conclusion: Intraperitoneal RARP had an increased risk of SBO and abdominal pain in the short term during the first year, but not in the long term, compared to RRP.

Place, publisher, year, edition, pages
2016. Vol. 50, no 3, p. 155-159
Keyword [en]
Adhesions, intestinal obstruction, open prostatectomy, robot-assisted radical prostatectomy, small bowel obstruction
National Category
Urology and Nephrology Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-297260DOI: 10.3109/21681805.2016.1141319ISI: 000375039800004PubMedID: 26936203OAI: oai:DiVA.org:uu-297260DiVA, id: diva2:944138
Funder
Swedish Research Council
Available from: 2016-06-29 Created: 2016-06-22 Last updated: 2017-12-13Bibliographically approved

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