Anesthesia for Robot-Assisted Radical Prostatectomy - a Challenge for Anaesthesiologist
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 outco...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2022-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/414423 |
| _version_ | 1797206594751037440 |
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| author | Iva Bačak Kocman Slobodan Mihaljević Eleonora Goluža Andrea Peršin Beraković Nataša Margaretić Piljek Tomislav Kuliš Tvrtko Hudolin Nikola Knežević Željko Kaštelan |
| author_facet | Iva Bačak Kocman Slobodan Mihaljević Eleonora Goluža Andrea Peršin Beraković Nataša Margaretić Piljek Tomislav Kuliš Tvrtko Hudolin Nikola Knežević Željko Kaštelan |
| author_sort | Iva Bačak Kocman |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T09:09:30Z |
| format | Article |
| id | doaj.art-73e4536467f24e10a69afcdbe0629a10 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:09:30Z |
| publishDate | 2022-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-73e4536467f24e10a69afcdbe0629a102024-04-15T18:04:09ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512022-01-0161.Supplement 3768010.20471/acc.2022.61.s3.11Anesthesia for Robot-Assisted Radical Prostatectomy - a Challenge for AnaesthesiologistIva Bačak Kocman0Slobodan Mihaljević1Eleonora Goluža2Andrea Peršin Beraković3Nataša Margaretić Piljek4Tomislav Kuliš5Tvrtko Hudolin6Nikola Knežević7Željko Kaštelan8Department of Anaesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Hospital Centre Zagreb, Zagreb, Croatia; University North, University Centre Varazdin, Varazdin, CroatiaDepartment of Anaesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Anaesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Anaesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Hospital Centre Zagreb, Zagreb, CroatiaDepartment of Anaesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Hospital Centre Zagreb, Zagreb, CroatiaDepartment of Urology, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Urology, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Urology, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Urology, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, CroatiaMininimally 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.https://hrcak.srce.hr/file/414423Radical ProstatectomyRobotic SurgeryAnaesthesiaPerioperative Management |
| spellingShingle | Iva Bačak Kocman Slobodan Mihaljević Eleonora Goluža Andrea Peršin Beraković Nataša Margaretić Piljek Tomislav Kuliš Tvrtko Hudolin Nikola Knežević Željko Kaštelan Anesthesia for Robot-Assisted Radical Prostatectomy - a Challenge for Anaesthesiologist Acta Clinica Croatica Radical Prostatectomy Robotic Surgery Anaesthesia Perioperative Management |
| title | Anesthesia for Robot-Assisted Radical Prostatectomy - a Challenge for Anaesthesiologist |
| title_full | Anesthesia for Robot-Assisted Radical Prostatectomy - a Challenge for Anaesthesiologist |
| title_fullStr | Anesthesia for Robot-Assisted Radical Prostatectomy - a Challenge for Anaesthesiologist |
| title_full_unstemmed | Anesthesia for Robot-Assisted Radical Prostatectomy - a Challenge for Anaesthesiologist |
| title_short | Anesthesia for Robot-Assisted Radical Prostatectomy - a Challenge for Anaesthesiologist |
| title_sort | anesthesia for robot assisted radical prostatectomy a challenge for anaesthesiologist |
| topic | Radical Prostatectomy Robotic Surgery Anaesthesia Perioperative Management |
| url | https://hrcak.srce.hr/file/414423 |
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