Professional paper
https://doi.org/10.20471/acc.2022.61.s3.11
Anesthesia for Robot-Assisted Radical Prostatectomy - a Challenge for Anaesthesiologist
Iva Bačak Kocman
; Department of Anaesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Hospital Centre Zagreb, Zagreb, Croatia; University North, University Centre Varazdin, Varazdin, Croatia
Slobodan Mihaljević
; Department of Anaesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Eleonora Goluža
; Department of Anaesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Andrea Peršin Beraković
; Department of Anaesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Hospital Centre Zagreb, Zagreb, Croatia
Nataša Margaretić Piljek
; Department of Anaesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Hospital Centre Zagreb, Zagreb, Croatia
Tomislav Kuliš
; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Tvrtko Hudolin
; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Nikola Knežević
; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Željko Kaštelan
; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Abstract
Mininimally invasive surgery has become one of the most popular ones over the
last few decades due to many benefits. The advantages are minimal surgical incision, reduced blood
loss, reduced postoperative pain, faster postoperative recovery, shorter hospital stay, lower morbidity
and better outcomes compared to open surgery. The most common robotic procedures in urology are
radical prostatectomies. In UHC Zagreb, since November 2019 until now, there have been more than
180 robotic assisted radical prostatectomies (RALP) using Senhance robotic system performed. As
a procedure with many possible complications, it represents a challenge for anaesthesiologist. Some
of the problems the anaesthesiologists have to face are related to limited patient access, possible difficulties
connected with positioning, pneumoperitoneum, subcutaneous emphysema, possible airway
oedema. Pneumoperitoneum has impact on almost every system: cardiovascular, renal, respiratory, gastrointestinal
and other. Detailed understanding of physiological changes of RALP, with intraoperative
impact on nearly every body system is ultimate. Careful preoperative evaluation and intraoperative
conduction minimize the risk of complications, and help patients to reach full recovery in a very short
time. Excellent outcomes are the result of individualized approach to the patient and good communication
between team members.
Keywords
Radical Prostatectomy; Robotic Surgery; Anaesthesia; Perioperative Management
Hrčak ID:
286374
URI
Publication date:
1.10.2022.
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