Management of postoperative ileus after robot-assisted radical prostatectomy
Introduction: The use of robot-assisted radical prostatectomy (RARP) for localized prostate cancer has increased in recent years. Postoperative ileus (POI) is the most common perioperative complication leading to delayed discharge after RARP. The incidence and management of prolonged POI from at our...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health/LWW
2019-01-01
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| Series: | Formosan Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=6;spage=207;epage=211;aulast=Wang |
| _version_ | 1797758215508721664 |
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| author | Shu-Chi Wang Cheng-Kuang Yang Chen-Li Cheng Yen-Chuan Ou |
| author_facet | Shu-Chi Wang Cheng-Kuang Yang Chen-Li Cheng Yen-Chuan Ou |
| author_sort | Shu-Chi Wang |
| collection | DOAJ |
| description | Introduction: The use of robot-assisted radical prostatectomy (RARP) for localized prostate cancer has increased in recent years. Postoperative ileus (POI) is the most common perioperative complication leading to delayed discharge after RARP. The incidence and management of prolonged POI from at our institution were reviewed.
Materials and Methods: A total of 958 RARPs were reviewed. Prolonged POI was defined as intolerance of an oral diet that continued until the postoperative day 6 and beyond. All data including the patients' characteristics, comorbidities, perioperative outcome, and management of prolonged POI were assessed.
Results: Seven patients experienced prolonged POI. Four of these seven patients (57%) recovered under conservative treatment. Three patients (43%) needed surgical reexploration were identified by abdominal computed tomography (CT) scan, including one adhesive intestinal obstruction and two incarcerated inguinal hernias. The laparoscopic reexplorations were successfully performed for the three patients.
Conclusion: For patients with prolonged POI failing initial conservative treatment, a prompt CT survey is crucial for early detection of patients requiring surgical intervention, helps to avoid intra-abdominal adhesion during the exploratory laparotomy and reduces associated surgical complications. |
| first_indexed | 2024-03-12T18:26:50Z |
| format | Article |
| id | doaj.art-2e5400fd38bd4a60b638a7f7a24633d2 |
| institution | Directory Open Access Journal |
| issn | 1682-606X |
| language | English |
| last_indexed | 2024-03-12T18:26:50Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Formosan Journal of Surgery |
| spelling | doaj.art-2e5400fd38bd4a60b638a7f7a24633d22023-08-02T08:29:01ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2019-01-0152620721110.4103/fjs.fjs_95_18Management of postoperative ileus after robot-assisted radical prostatectomyShu-Chi WangCheng-Kuang YangChen-Li ChengYen-Chuan OuIntroduction: The use of robot-assisted radical prostatectomy (RARP) for localized prostate cancer has increased in recent years. Postoperative ileus (POI) is the most common perioperative complication leading to delayed discharge after RARP. The incidence and management of prolonged POI from at our institution were reviewed. Materials and Methods: A total of 958 RARPs were reviewed. Prolonged POI was defined as intolerance of an oral diet that continued until the postoperative day 6 and beyond. All data including the patients' characteristics, comorbidities, perioperative outcome, and management of prolonged POI were assessed. Results: Seven patients experienced prolonged POI. Four of these seven patients (57%) recovered under conservative treatment. Three patients (43%) needed surgical reexploration were identified by abdominal computed tomography (CT) scan, including one adhesive intestinal obstruction and two incarcerated inguinal hernias. The laparoscopic reexplorations were successfully performed for the three patients. Conclusion: For patients with prolonged POI failing initial conservative treatment, a prompt CT survey is crucial for early detection of patients requiring surgical intervention, helps to avoid intra-abdominal adhesion during the exploratory laparotomy and reduces associated surgical complications.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=6;spage=207;epage=211;aulast=Wangileusintestinal obstructionlaparoscopypostoperative complicationsprostatectomy |
| spellingShingle | Shu-Chi Wang Cheng-Kuang Yang Chen-Li Cheng Yen-Chuan Ou Management of postoperative ileus after robot-assisted radical prostatectomy Formosan Journal of Surgery ileus intestinal obstruction laparoscopy postoperative complications prostatectomy |
| title | Management of postoperative ileus after robot-assisted radical prostatectomy |
| title_full | Management of postoperative ileus after robot-assisted radical prostatectomy |
| title_fullStr | Management of postoperative ileus after robot-assisted radical prostatectomy |
| title_full_unstemmed | Management of postoperative ileus after robot-assisted radical prostatectomy |
| title_short | Management of postoperative ileus after robot-assisted radical prostatectomy |
| title_sort | management of postoperative ileus after robot assisted radical prostatectomy |
| topic | ileus intestinal obstruction laparoscopy postoperative complications prostatectomy |
| url | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=6;spage=207;epage=211;aulast=Wang |
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