209 Robot-Assisted Radical Prostatectomy: A survery on the influence of postoperative results analysis and surgical video review on postoperative complications and functional results. Introduction In the USA, approximately 90% of the radical prostatectomy surgeries are performed using the surgical robot,1 i.e. Robot-Assisted Radical Prostatectomy (RARP). The influence of the surgical skills during RARP on surgical complications and functional outcomes has been investigated, but the specific surgical steps influencing urinary continence and erectile function remain unclear so far.1–3 In general, laparoscopic and robotic surgery provides the possibility to evaluate surgeons’ skills based on intra-corporal surgical videos.4,5 Analysis of these videos offers the opportunity to gain insight into past performance and to relate intra-operative events to adverse postoperative outcomes to learn for the future.6–9 Effective training and assessment of performance are fundamental to ensuring that surgeons reach their intended goal and operate safely with maximum preservation of functions.7,10,11 The field of video review and postoperative results analysis is focused on predicting postoperative results and reducing complications.1,2,12,13 Even though multiple groups have investigated the possibility of video review it is unclear if video review has found its place in daily clinical practice. Earlier research of our group has shown Dutch experts are willing to participate in surgical video review.1 Results have shown 92% of the respondents assume the use of surgical video review leads to recognition of errors and identification of possible improvements which can result in an improvement in surgical technique which can, in turn, contribute to the reduction of postoperative complications.1 To gain insight into the use, extent and possible effect of postoperative results analysis and surgical video review in daily clinical practice, a survey was performed amongst international RARP surgeons. The following key questions had to be answered: Is postoperative results analysis and surgical video review implemented in daily practice RARP surgeons? What different strategies of postoperative results analysis and surgical video review are used by the RARP surgeons? Do these surgeons assume postoperative results analysis and surgical video review to be useful in improving daily practice and reduce complications? Can RARP surgeons indicate which factors have their interest during postoperative results analysis and surgical video review related to improvement of postoperative functional outcomes and reduction complications?
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