Thrombembolism After Robot- Assisted Surgery in Urology

Study Overview
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Brief Summary
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Cancer patients have an increased risk of perioperative complications undergoing surgery procedures. Postoperative complications caused by thrombembolic events after robot- assisted surgery in major urological procedures have been reported and associated with an increased lenght of stay in the hospital. We therefore aimed to investigate in a retrospective analysis 250 patients undergoing robotic-assisted radical cystectomy and prostatectomy procedures for risk factors for thrombembolic events in this specific patient population.

Detailed Description
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Postoperative arterial or venous thrombembolism after robotic- assisted surgery in major urological procedures are reported severe complications in this patient population. After having studied the available literature on this particular topic the investigators have decided to prepare a retrospective analysis of approximately 250 robot- assisted radical cystectomy and radical prostatectomy surgical procedures. In due consideration of perioperative prophylaxis of thrombembolic Events we determine the clinical and radiological signs of venous or arterial thrombembolism postoperatively with a particular focus on early postoperative pulmonary embolism events. This is a retrospective analysis of 250 robotic-assisted radical cystectomy and radical prostatectomy surgical procedures.

Official Title
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Postoperative Arterial or Venous Thrombembolism After Robot- Assisted Surgery in Major Urological Procedures is in Some Cases a Severe Complication.

Conditions
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Urologic Cancer, Thrombosis, Embolism, Surgery--Complications

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: over 18 years of age scheduled for urological surgery (cystectomy and/or prostatectomy) signed basical declaration of consent Exclusion Criteria: absent or unsigned basical declaration of consent

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative thrombembolism | Arterial and venous thrombembolism after surgery | through study completion, an average of 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| acute renal failure | acute renal failure | through study completion, an average of 1 year | 
| pulmonary oedema | pulmonary oedema | through study completion, an average of 1 year | 
| pneumonia | pneumonia | through study completion, an average of 1 year | 
| wound infection | wound infection | through study completion, an average of 1 year | 
| Major adverse cardiovascular events (MACE) | nonfatal stroke, nonfatal myocardial infarction and cardiovascular death | through study completion, an average of 1 year | 
| ocular complications | ocular complications | through study completion, an average of 1 year | 
| delirium | delirium | through study completion, an average of 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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thrombembolism after robot-assisted surgery