發生於達文西機械手術輔助之攝護腺切除手術術後之腸阻塞
王樹吉 楊晨洸 程千里 歐宴泉
台中榮總外科部泌尿外科
Prolonged postoperative ileus after robot-assisted radical prostatectomy
Shu-Chi Wang, Cheng-Kuang Yang, Chen-Li Cheng, Yen-Chuan Ou*
Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC
Purpose:
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 after RARP. The management of prolonged POI was reviewed.
Materials and Methods:
A total of 958 RARPs were reviewed. Prolonged POI was defined as intolerance of an oral diet that continued until postoperative day 4 and beyond. All data including the patients’ characteristics, comorbidities and perioperative outcome were assessed.
Results:
Seven patients experienced prolonged POI. Four of these seven patients (57%) recovered under conservative treatment. Three patients (43%) needed re-exploration were identified by abdominal computed tomography (CT) scan.
Conclusion:
For patients with prolonged POI failing initial conservative treatment, a prompt CT survey is crucial for early detection of patients requiring surgical intervention.