The use of hemostatic agents does not prevent hemorrhagic complications of robotic partial nephrectomy.

Abstract:

PURPOSE:To assess the impact of HA on robotic PN (RPN) outcomes. METHODS:We retrospectively analyzed data from patients who underwent RPN in eight centers between 2009 and 2013. Hemorrhagic complications were defined as the occurrence of a pseudoaneurysm, arteriovenous fistula or hematoma requiring transfusion. Patients were first divided into two groups: group A (use of at least one HA) and group B (no HA used), and then into five groups to assess the impact of each HA: group 1 (no HA), group 2 (Floseal(®) only), group 3 (Surgicel(®) only), group 4 (Tachosil(®) only) and group 5 (Surgicel(®) + Floseal(®)). The impact of HA was evaluated by univariate and multivariate analysis. RESULTS:Out of 515 RPN, 315 (61 %) were done using at least one HA (group A) and 200 (39 %) were done without any HA (group B). Patients in both groups had similar hemorrhagic complication rates (13 % vs. 15 %, p = 0.42) and postoperative complication rates (19 % vs. 23 %, p = 0.32). In multivariate analysis, the absence of HA was not a risk factor for hemorrhagic complications (OR 0.77, p = 0.54). When each type of HA was considered individually, none was associated with the occurrence of hemorrhagic complication either in univariate or in multivariate analysis. CONCLUSION:In this multicenter study, the use of HA was not associated with a lower risk of hemorrhagic or global complications.

journal_name

World J Urol

journal_title

World journal of urology

authors

Peyronnet B,Oger E,Khene Z,Verhoest G,Mathieu R,Roumiguié M,Beauval JB,Pradere B,Masson-Lecomte A,Vaessen C,Baumert H,Bernhard JC,Doumerc N,Droupy S,Bruyere F,De La Taille A,Roupret M,Bensalah K

doi

10.1007/s00345-015-1537-0

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

1815-20

issue

11

eissn

0724-4983

issn

1433-8726

pii

10.1007/s00345-015-1537-0

journal_volume

33

pub_type

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