Clinical Study

Does Changeover by an Experienced Open Prostatic Surgeon from Open Retropubic to Robot-Assisted Laparoscopic Prostatectomy Mean a Step Forward or Backward?

Table 3

Clavien-Dindo grade IIIa–V complications within 90 days postoperatively—robotic-assisted prostatectomy versus retropubic prostatectomy.

ComplicationRRP ( )*RALP ( )+

Clavien-Dindo grade IIIa

Acute urinary retention with diagnostic cystoscopy10
Suspected melena with gastroscopy01
Symptomatic lymphocele with percutaneous drainage21

Clavien-Dindo grade IIIb

Symptomatic lymphocele with laparoscopic drainage72
Symptomatic lymphocele with open surgical drainage40
Pelvic hematoma with open surgical drainage21
Superficial wound healing deficit with secondary closure31
Pelvic urinoma with open surgical drainage10
Unilateral hydronephrosis with percutaneous nephrostomy10
Anastomotic stricture with transurethral incision10

Clavien-Dindo grade IVa

Acute coronary syndrome1
with cardiac stenting
1
with ICU stay

Clavien-Dindo grade IVb

Cardiac arrest with successful resuscitation01

Clavien-Dindo grade V

Death00

Total23
(in 21 patients)
8
(in 7 patients)

2 patients presented 2 Clavien-Dindo grade ≥ IIIa complications.
1 patient presented 2 Clavien-Dindo grade ≥ IIIa complications.
ICU: intensive care unit, RALP: robotic-assisted laparoscopic prostatectomy, RRP: radical retropubic prostatectomy.