Evidence map›Paper›PMID 30140463›Full record

ReviewArab journal of urology2018

Complications in robotic urological surgeries and how to avoid them: A systematic review.

Rafael Rocha Tourinho-Barbosa, Marcos Tobias-Machado, Adalberto Castro-Alfaro, Gabriel Ogaya-Pinies, Xavier Cathelineau, Rafael Sanchez-Salas

Open access · diamondAbstract readReview
In one paragraph

Review in Arab journal of urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Rafael Rocha Tourinho-BarbosaDepartment of Urology, L'Institut Mutualiste Montsouris, Université Paris-Descartes, Paris, France.
Marcos Tobias-MachadoDivision of Urology, ABC Medical School, Sao Paulo, Brazil.
Adalberto Castro-AlfaroDepartment of Urology, L'Institut Mutualiste Montsouris, Université Paris-Descartes, Paris, France.
Gabriel Ogaya-PiniesDepartment of Urology, University of Central Florida College of Medicine and Global Robotics Institute, Florida Hospital-Celebration Health, FL, USA.
Xavier CathelineauDepartment of Urology, L'Institut Mutualiste Montsouris, Université Paris-Descartes, Paris, France.
Rafael Sanchez-SalasDepartment of Urology, L'Institut Mutualiste Montsouris, Université Paris-Descartes, Paris, France.
Université Paris Cité · FRFaculdade de Medicina do ABC · BRFlorida College · USInstitute Mutualiste Montsouris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo review the main complications related to the robot-assisted laparoscopic (RAL) approach in urology and to suggest measures to avoid such issues.

methodsA systematic search for articles of the contemporary literature was performed in PubMed database for complications in RAL urological procedures focused on positioning, access, and operative technique considerations. Each complication topic is followed by recommendations about how to avoid it.

resultsIn all, 40 of 253 articles were included in this analysis. Several complications in RAL procedures can be avoided if the surgical team follows some key steps. Adequate patient positioning must avoid skin, peripheral nerve, and muscles injuries, and ocular and cognitive complications mainly related to steep Trendelenburg positioning in pelvic procedures. Port-site access and closure should not be neglected during minimally invasive procedures as these complications although rare can be troublesome. Technique-related complications depend on surgeon experience and the early learning curve should be monitored.

conclusionsAdequate patient selection, surgical positioning, mentorship training, and avoiding long-lasting procedures are essential to prevent RAL-related complications. The robotic surgical team must be careful and work together to avoid possible complications. This review offers several steps in surgical planning to reach this goal.

Indexed as

CK, creatine kinaseDVT, deep venous thrombosisICP, intracranial pressureMinimally invasive surgeryMIS, minimally invasive surgeryPN, partial nephrectomyRadical prostatectomyRAL, robot-assisted laparoscopicRC, radical cystectomyRobotic surgeryRP, radical prostatectomySurgical complicationsVTE, venous thromboembolism

Identifiers

PMID30140463
PMCPMC6104661
OpenAlexW2771963038

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.