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

The Prostate Mar 31, 2021

Cornelius J, Mudlagk J, Afferi L, et al. - This study was sought to conduct a systematic review of the literature concerning postoperative peripheral neuropathies associated with patient positioning during robot‐assisted laparoscopic radical prostatectomy (RARP). Researchers performed a systematic review of articles published from January 1, 1990, to March 15, 2020, in accordance with the PRISMA declaration (Preferred Reporting Items for Systematic Reviews and Meta‐Analysis). In this study, one randomized controlled trial and five retrospective studies with a total of 63,667 patients were included in this review after screening 4,975 articles. At RARP, the incidence of peripheral neuropathies varies between 1.3% and 10.8%. The outcomes demonstrated that lower extremities are more affected than upper extremities and the most important risk factors are intraoperative time duration, patients comorbidities, and ASA score. According to the findings, hgh‐quality prospective randomized studies to better evaluate the effect of patient positioning during RARP on the development of postoperative peripheral neuropathies are needed.

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