The incidence of postoperative ileus in patients who underwent robotic assisted radical prostatectomy

摘要

Introduction Our aim was to examine the incidence and risk factors of postoperative ileus among patientswho underwent robot–assisted radical prostatectomy (RARP).Material and methods We retrospectively reviewed 239 patients who underwent RARP transperitoneallybetween February 2009 and December 2011. Patients switched to open surgery were excluded. Wedefined postoperative ileus as intolerance of a solid diet continued until the third postoperative day andbeyond. By Clavien classification, we evaluated the perioperative complications that cause or contributeto postoperative ileus. Similarly, we analyzed the impact of anesthesia risk score on the incidence ofpostoperative ileus.Results The study included 228 patients. The mean period to tolerate solid food was 1.24 days. Only6 patients experienced postoperative ileus, all of whom were treated with a conservative approach.The two groups differed significantly in the duration of abdominal drainage, hospital stay, modifiedClavien classification, and the presence of comorbidity diabetes mellitus (P <0.5 for all factors).Multiple logistic regression analysis revealed that diabetes mellitus was an independent risk factor forpostoperative ileus.Conclusions We suggest that diabetes mellitus is an independent risk factor for postoperative ileusin patients undergoing robot–assisted radical prostatectomy.