Postoperative peripheral neuropathies associated with patient positioning during robot-assisted laparoscopic radical prostatectomy (RARP): A systematic review of the literature.

Autor: Cornelius J; Department of Urology, Luzerner Kantonsspital, Lucerne, Switzerland., Mudlagk J; Department of Urology, Luzerner Kantonsspital, Lucerne, Switzerland.; University Witten/Herdecke, Witten, Germany., Afferi L; Department of Urology, Luzerner Kantonsspital, Lucerne, Switzerland., Baumeister P; Department of Urology, Luzerner Kantonsspital, Lucerne, Switzerland., Mattei A; Department of Urology, Luzerner Kantonsspital, Lucerne, Switzerland.; Université de Genèva, Genèva, Switzerland., Moschini M; Department of Urology, Luzerner Kantonsspital, Lucerne, Switzerland., Iselin C; Université de Genèva, Genèva, Switzerland.; Department of Urology, University Hospital Geneva, Geneva, Switzerland., Mordasini L; Department of Urology, Luzerner Kantonsspital, Lucerne, Switzerland.; Université de Genèva, Genèva, Switzerland.
Jazyk: angličtina
Zdroj: The Prostate [Prostate] 2021 May; Vol. 81 (7), pp. 361-367. Date of Electronic Publication: 2021 Mar 25.
DOI: 10.1002/pros.24121
Abstrakt: Objective: To perform a systematic review of the literature concerning postoperative peripheral neuropathies associated with patient positioning during robot-assisted laparoscopic radical prostatectomy (RARP).
Patients and Methods: A systematic review on articles published from January 1, 1990 to March 15, 2020 was performed in accordance with the PRISMA declaration (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). The electronic search was done searching through the Cochrane Registry, PubMed/EMBASE, Medline, and Scopus. Relevant papers addressing postoperative peripheral neuropathies related to patient positioning during RARP were integrated into the analyses.
Results: After screening 4975 articles, one randomized controlled trial and five retrospective studies with a total of 63,667 patients were included in this review. Peripheral neuropathies of the upper extremities were documented in three articles with a total of 15 patients, peripheric neuropathies of the lower extremities were reported in five articles with a total of 76 patients. Analysis of the data was exploratory, since screening techniques, systematically reporting, and description of positioning techniques was not standardized or not reported.
Conclusions: The incidence of peripheral neuropathies at RARP varies between 1.3% and 10.8%. Lower extremities are more affected than upper extremities and the most important risk factors are intraoperative time duration, patients comorbidities, and ASA score. High-quality prospective randomized studies to better assess the impact of patient positioning during RARP on the development postoperative peripheral neuropathies are needed.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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