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Reduction in postoperative ileus rates utilizing lower pressure pneumoperitoneum in robotic-assisted radical prostatectomy

  • Matthew RohloffEmail author
  • Arman Cicic
  • Cody Christensen
  • Thomas K. Maatman
  • Jeffrey Lindberg
  • Thomas J. Maatman
Original Article
  • 14 Downloads

Abstract

Robotic-assisted radical prostatectomy (RARP) is the most commonly performed surgery for prostate cancer. This is a study comparing differences in postoperative outcomes between pneumoperitoneum pressures of 15 mmHg and 12 mmHg. Retrospective chart review was performed on 400 patients undergoing RARP over a 5 year period. A combination of Fisher’s exact test and ANOVA were utilized for statistical analysis. Age, BMI, Gleason score, positive margin rate, complication rates, blood loss, and operative times were similar in both groups. Length of stay and postoperative ileus rates were significantly less in the 12 mmHg group (p < 0.05). RARP can be safely performed utilizing a lower pressure pneumoperitoneum. Decreasing insufflation pressures from 15 to 12 mmHg can further lead to decreased rates of postoperative ileus.

Keywords

Low-pressure pneumoperitoneum Standard pressure pneumoperitoneum Robotic-assisted radical prostatectomy Postoperative ileus Prostate cancer Robotic surgery 

Abbreviations

LPP

Low-pressure pneumoperitoneum

SPP

Standard pressure pneumoperitoneum

RARP

Robotic-assisted radical prostatectomy

POI

Postoperative ileus

BMI

Body mass index

LOS

Length of stay

Notes

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflicts of interest.

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Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Urological SurgeryMetro Health: University of Michigan HealthGrand RapidsUSA

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