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Complications of robotic surgery in urological diseases

are we using standardized methodology to report complications?

Baccaglini, Willya,b; Medina, Luisb; Azhar, Raed A.c; Sotelo, Rene J.b

doi: 10.1097/MOU.0000000000000568
ROBOTIC SURGERY IN UROLOGY: FACTS AND REALITY: Edited by Alexandre Mottrie and Paolo Dell’Oglio

Purpose of review The current data on complications reporting related to robot-assisted procedures (RAPs) in the urology literature are not comparable and do not use a validated classification. In this review, findings from various studies reporting positive and negative outcomes will be outlined.

Recent findings Robotic procedures have outcomes similar to open and laparoscopic techniques but generally cause fewer adverse events. However, the lack of standards for presenting surgical morbidity related to RAP leads to underreporting of surgical complications, makes comparisons of surgical outcomes difficult and prevents adequate knowledge about the outcomes of procedures.

Summary Although a reasonable number of positive outcomes of RAP have been reported in the literature, the extent of underreporting with this process is unknown. Further research and the development of a validated classification for reporting surgical complications will facilitate a better understanding of the actual outcomes.

aDiscipline of Urology, ABC Medical School, Santo André, São Paulo, Brazil

bInstitute of Urology, University of Southern California, Keck School of Medicine, Los Angeles, California, USA

cUrology Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

Correspondence to Rene J. Sotelo, MD, Institute of Urology, University of Southern California, Keck School of Medicine, Los Angeles, California 90033, USA. E-mail:

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