172 Chapter 6 steps of the RARP surgery and the peri-operative measurements that are considered to be most likely to be related to complications and adverse postoperative outcomes The relation between the statements and postoperative complications Consensus of ‘agreement’ was reached on three out of 14 statements (Table 2) regarding the relation of the statement to postoperative complications. Consensus of ‘disagreement’ was reached on six out of 14 statements, one of which received a unanimous ‘disagreement’ score (i.e. median score of 1 and disagreement index = 0). No consensus was reached on the five remaining statements. The panel agreed on the following statements: “Shorter operating times result in fewer complications” and “Shorter duration of coagulation results in fewer complications”. All participants disagreed with the statement “It is better not to use the third arm of the robot when looking at complications”. The relation between the statements and functional results The participants of the Delphi Survey reached consensus of ‘agreement’ on two out of 14 statements concerning functional results (Table 2). The panel reached a consensus of ‘disagreement’ on five out of 14 statements. None of the statements received a unanimous score. No consensus was reached on the seven remaining statements. The panel agreed on the following statements: “Zooming in more on the operation field provides better vision as it leads to better functional results.” and “A shorter duration of coagulation results in improved functional results.” Steps of the surgery associated with complications During the Delphi Survey, consensus of ‘agreement’ was reached on seven out of 11 statements regarding the steps of the surgery that might be associated with compliTable 5 PROTEST Assessment instrument PROTEST assessment instrument Pelvic floor muscle exposure Surgical Skill 1 = Uncoordinated 2 3 4 5 = Perfect coordination 1 = Inaccurate 2 3 4 5 = Perfectly accurate Total time step (sec) Time bleeding (sec) Time coagulating (sec) Time suturing (sec) Number of times camera removal (n) Comments Events
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