216 Chapter 8 tive results analysis. Two respondents required their urologists and urologists in training to perform RARP under guidance through a dual console Da Vinci robot, either at random or when they do not meet self-constructed quality criteria. Eight respondent (26%) specifically stated they adapted the surgical approach and postoperative care based on postoperative result analysis, video review and team discussions. They adapted surgical techniques in specific steps of the surgery, rejected techniques of limited benefit and analysed the results after a set number of months to create a continuous feedback loop. This has also led to changes in patient selection, due to the fact that some techniques are less suitable for specific cases. During the meetings, topics of interest were challenging cases (such as patients with high BMI, large prostate volumes), margin status, functional outcomes and surgical complications based on Clavien Dindo classification. When assessing functional Beneficial Detrimental Lower age Higher age Narrow bladder neck Overweight Moment of surgery Comorbidity Patient positioning Prior abdominal surgery Surgical technique Previous transurethral resection of the prostate or Salvage prostatectomy Surgeon experience Pelvic radiation Peri-operative checks e.g. bladder filling to check for leakage Surgical errors Peri-operative anesthesiologic planning Pelvic lymph node dissection Expertise of and communication with bedside assistance Extensive blood loss Postoperative care Coagulation during ‘management of prostate apex/urethra’, ‘urethro-vesical anastomosis’ and ‘nerve preservation Table 4: Factors associated with complications and outcomes outcomes, most respondents reviewed those cases with optimal and bad outcomes and compared the surgical techniques on the videos. The reviewed cases had various subjects: outlined surgical complications, salvage treatments, unusual/important findings or specific phases of surgery. Factors of interest in postoperative results analysis and surgical video review related to improvement of postoperative functional outcomes and reduction complications Seventeen participants answered the following questions (Table 3). When asked what steps of the RARP possibly influence postoperative continence, 16 (94%) re-
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