ABSTRACT
Purpose:
To assess the feasibility and postoperative outcomes in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALP) with pressure-controlled ventilation mode.
Methods:
200 ASA physical status I, II, and III men underwent RALP was searched retrospectively. Demographic data, intraoperative hemodynamic and respiratory parameters and fluid and blood products, intraoperative and postoperative analgesic consumption were all recorded. Additional data included postoperative transfusion need; pre and postoperative hematocrit, platelet count, creatinine levels and length of hospital stay.
Results:
Mean age of the patients undergoing RALP was 62 years; mean body mass index was 28.2 kg m-2. The mean anesthesia time was 3.42 hours and mean blood loss was 222 ml. Postoperative anemia (hemoglobin ?10 g/ dL) requiring blood transfusions was seen in 4.1% of the patients. One patient required postoperative mechanical ventilation because of laryngeal edema secondary to multiple intubation attempts.
Conclusions:
RALP was associated with low estimated blood loss (EBL), few blood transfusions, PACU and short hospital stays.
Keywords:
Robotic surgery, Steep Trendelenburg, Pressure-controlled- ventilation, Prostate cancer.VOLUME
,
ISSUE
Correspondence
Received
Accepted
Published
Suggested Citation
DOI
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