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Incidence, Risk Factors, Management, and Complications of Rectal Injuries During Radical Prostatectomy

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Incidence, Risk Factors, Management, and Complications of Rectal Injuries During Radical Prostatectomy. / Mandel, Philipp; Linnemannstöns, Anna; Chun, Felix; Schlomm, Thorsten; Pompe, Raisa; Budäus, Lars; Rosenbaum, Clemens; Ludwig, Tim; Dahlem, Roland; Fisch, Margit; Graefen, Markus; Huland, Hartwig; Tilki, Derya; Steuber, Thomas.

in: EUR UROL FOCUS, Jahrgang 4, Nr. 4, 07.2018, S. 554-557.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › Andere (Vorworte u.ä.) › Forschung

Harvard

Mandel, P, Linnemannstöns, A, Chun, F, Schlomm, T, Pompe, R, Budäus, L, Rosenbaum, C, Ludwig, T, Dahlem, R, Fisch, M, Graefen, M, Huland, H, Tilki, D & Steuber, T 2018, 'Incidence, Risk Factors, Management, and Complications of Rectal Injuries During Radical Prostatectomy', EUR UROL FOCUS, Jg. 4, Nr. 4, S. 554-557. https://doi.org/10.1016/j.euf.2017.01.008

APA

Mandel, P., Linnemannstöns, A., Chun, F., Schlomm, T., Pompe, R., Budäus, L., Rosenbaum, C., Ludwig, T., Dahlem, R., Fisch, M., Graefen, M., Huland, H., Tilki, D., & Steuber, T. (2018). Incidence, Risk Factors, Management, and Complications of Rectal Injuries During Radical Prostatectomy. EUR UROL FOCUS, 4(4), 554-557. https://doi.org/10.1016/j.euf.2017.01.008

Vancouver

Mandel P, Linnemannstöns A, Chun F, Schlomm T, Pompe R, Budäus L et al. Incidence, Risk Factors, Management, and Complications of Rectal Injuries During Radical Prostatectomy. EUR UROL FOCUS. 2018 Jul;4(4):554-557. https://doi.org/10.1016/j.euf.2017.01.008

Bibtex

@article{84dbf8da5695432cac42619ebf1d48b6,
title = "Incidence, Risk Factors, Management, and Complications of Rectal Injuries During Radical Prostatectomy",
abstract = "Rectal injury (RI) during radical prostatectomy (RP) is a severe complication. So far, only limited data describing the incidence, risk factors, management, and complications of RI are available. In an analysis of data for 24178 patients, we identified 113/24076 patients (0.47%) undergoing open or robotic RP and 7/102 patients (6.86%) after salvage RP who experienced an RI. Besides salvage RP, local tumor stage, Gleason grade, lymph node status, and surgical experience, but not surgical approach (robotic vs open), could be identified as risk factors for RI in univariate and multivariate analysis. Intraoperative management of RI comprised closure with two to three layers. In 13/109 patients (11.9%), a diverting colostomy/ileostomy was carried out. Some 12% of men with closure of an RI developed a recto-anastomosis fistula, and 57% of those who had an additional diverting enterostomy. Thus, the overall incidence of recto-anastomosis fistula after RP was <0.1%. The extent of rectal laceration, prior radiation, and intraoperative signs of rectal infiltration were associated with the development of a subsequent recto-anastomosis fistula. Some 83% of patients with a recto-anastomosis fistula needed further intervention. PATIENT SUMMARY: We analyzed the incidence, risk factors, management, and complications of rectal injury during radical prostatectomy. Overall, the incidence of rectal injury and subsequent development of recto-anastomosis fistulas is low unless the patient has significant risk factors.",
keywords = "Journal Article",
author = "Philipp Mandel and Anna Linnemannst{\"o}ns and Felix Chun and Thorsten Schlomm and Raisa Pompe and Lars Bud{\"a}us and Clemens Rosenbaum and Tim Ludwig and Roland Dahlem and Margit Fisch and Markus Graefen and Hartwig Huland and Derya Tilki and Thomas Steuber",
note = "Document Type: Brief Correspondence",
year = "2018",
month = jul,
doi = "10.1016/j.euf.2017.01.008",
language = "English",
volume = "4",
pages = "554--557",
journal = "EUR UROL FOCUS",
issn = "2405-4569",
publisher = "Elsevier BV",
number = "4",

}

RIS

TY - JOUR

T1 - Incidence, Risk Factors, Management, and Complications of Rectal Injuries During Radical Prostatectomy

AU - Mandel, Philipp

AU - Linnemannstöns, Anna

AU - Chun, Felix

AU - Schlomm, Thorsten

AU - Pompe, Raisa

AU - Budäus, Lars

AU - Rosenbaum, Clemens

AU - Ludwig, Tim

AU - Dahlem, Roland

AU - Fisch, Margit

AU - Graefen, Markus

AU - Huland, Hartwig

AU - Tilki, Derya

AU - Steuber, Thomas

N1 - Document Type: Brief Correspondence

PY - 2018/7

Y1 - 2018/7

N2 - Rectal injury (RI) during radical prostatectomy (RP) is a severe complication. So far, only limited data describing the incidence, risk factors, management, and complications of RI are available. In an analysis of data for 24178 patients, we identified 113/24076 patients (0.47%) undergoing open or robotic RP and 7/102 patients (6.86%) after salvage RP who experienced an RI. Besides salvage RP, local tumor stage, Gleason grade, lymph node status, and surgical experience, but not surgical approach (robotic vs open), could be identified as risk factors for RI in univariate and multivariate analysis. Intraoperative management of RI comprised closure with two to three layers. In 13/109 patients (11.9%), a diverting colostomy/ileostomy was carried out. Some 12% of men with closure of an RI developed a recto-anastomosis fistula, and 57% of those who had an additional diverting enterostomy. Thus, the overall incidence of recto-anastomosis fistula after RP was <0.1%. The extent of rectal laceration, prior radiation, and intraoperative signs of rectal infiltration were associated with the development of a subsequent recto-anastomosis fistula. Some 83% of patients with a recto-anastomosis fistula needed further intervention. PATIENT SUMMARY: We analyzed the incidence, risk factors, management, and complications of rectal injury during radical prostatectomy. Overall, the incidence of rectal injury and subsequent development of recto-anastomosis fistulas is low unless the patient has significant risk factors.

AB - Rectal injury (RI) during radical prostatectomy (RP) is a severe complication. So far, only limited data describing the incidence, risk factors, management, and complications of RI are available. In an analysis of data for 24178 patients, we identified 113/24076 patients (0.47%) undergoing open or robotic RP and 7/102 patients (6.86%) after salvage RP who experienced an RI. Besides salvage RP, local tumor stage, Gleason grade, lymph node status, and surgical experience, but not surgical approach (robotic vs open), could be identified as risk factors for RI in univariate and multivariate analysis. Intraoperative management of RI comprised closure with two to three layers. In 13/109 patients (11.9%), a diverting colostomy/ileostomy was carried out. Some 12% of men with closure of an RI developed a recto-anastomosis fistula, and 57% of those who had an additional diverting enterostomy. Thus, the overall incidence of recto-anastomosis fistula after RP was <0.1%. The extent of rectal laceration, prior radiation, and intraoperative signs of rectal infiltration were associated with the development of a subsequent recto-anastomosis fistula. Some 83% of patients with a recto-anastomosis fistula needed further intervention. PATIENT SUMMARY: We analyzed the incidence, risk factors, management, and complications of rectal injury during radical prostatectomy. Overall, the incidence of rectal injury and subsequent development of recto-anastomosis fistulas is low unless the patient has significant risk factors.

KW - Journal Article

U2 - 10.1016/j.euf.2017.01.008

DO - 10.1016/j.euf.2017.01.008

M3 - Other (editorial matter etc.)

C2 - 28753847

VL - 4

SP - 554

EP - 557

JO - EUR UROL FOCUS

JF - EUR UROL FOCUS

SN - 2405-4569

IS - 4

ER -