207 Robot-Assisted Radical Prostatectomy: A survery on the influence of postoperative results analysis and surgical video review on postoperative complications and functional results. Abstract Objective To investigate the experiences and opinions of surgeons in the field of Robot-assisted Radical Prostatectomy (RARP) on the influence of video reviews and postoperative results analysis on postoperative complications and functional results (i.e. urinary continence and erectile function). Design, Setting, and Participants RARP surgeons who were expected to perform video reviews and postoperative results analysis were identified. A total of 93 RARP surgeons were invited to participate in this survey. Online questionnaires were distributed. Outcome Measurements and Statistical Analysis The questionnaire contained the following domains: background information of the RARP surgeons, evaluation of the use of postoperative results analysis and surgical video review, and future recommendations. Results and Limitations A total of 30 RARP surgeons responded to the questionnaire. 27 respondents organized periodical results analyses, 17 of them reviewed edited videos as part of standard clinical practice in their hospital. Most respondents recommend video review, and are convinced it improves outcomes through self-reflection, feedback from a colleague, or from seeing different techniques and ‘tricks’. The reviewed videos were watched in a group of surgeons, the videos had various subjects: outlined complications, salvage treatments, unusual/important findings or specific phases of surgery. The respondents agreed on the effect of the various phases of RARP on complications and postoperative outcomes. Their opinion of the influence of some surgical steps was ambiguous. Conclusion RARP surgeons have accepted the implementation of postoperative results analysis and surgical video review as forms of quality assurance and self-reflection. They use edited surgical videos during team meetings in order to gain insight into the specific facets (surgical steps) of RARP related to postoperative complications and functional outcomes (i.e. urinary continence and erectile function).
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