Özkan GÖRGÜLÜ, Bora DİNÇ, Kerem İNANOĞLU

Robot Destekli Laparoskopik Radikal Prostatektomi Hastalarında Üç Farklı Genel Anestezi Yönteminin Postoperatif Böbrek ve Hepatik Fonksiyonlar Üzerine Etkileri

Amaç: Robotik yardımlı laparoskopik radikal prostatektomi RLRP hastalarına sevofluran, desfluran ve total intravenöz anestezi yöntemlerini uyguladık ve böbrek ve karaciğer fonksiyonları üzerindeki etkilerini karşılaştırdık. Robotik yardımlı laparoskopik radikal prostatektomi hastalarında 3 farklı anestezi yönteminin böbrek ve karaciğer fonksiyonları üzerine etkileri araştırılmamıştır.Gereç ve Yöntemler: Toplam 193 hastaya Sevoflurane, Desflurane veya TIVA grupları için Total İntravenöz Anestezi TIVA uygulandı. Hasta verileri elektronik hasta veri sistemi SARUS taranarak üretildi. Üç grubun preoperatif ve postoperatif laboratuvar bulguları değerlendirildi ve anestezi tiplerinin etkisini izole etmek için çok değişkenli analiz yapıldı.Bulgular: Yaş ortalaması 63.96±6.17 olan RLRP yapılan 193 hasta retrospektif olarak değerlendirildi. Serofluran grubu 48, Desfluran grubu 131 ve TIVA grubu 14 hastadan veriler toplandı. TIVA grubunda, Sevofluran ve Desfluran gruplarına kıyasla, postoperatif böbrek ve karaciğer fonksiyonlarının korunması ve daha az intraoperatif solunum asidozu ile ilişkili avantajlar vardı.Sonuç: Bu bulgular doğrultusunda TIVA iyi tolere edilir ve RLRP ameliyatı için güvenli bir anestezi tekniğidir. RLRP cerrahisinde sevofluran, desfluran ve TIVAʼyı tek tek karşılaştıran başka bir çalışma yoktur ve özellikle postoperatif böbrek ve karaciğer değerlerini ortaya çıkarmak için gelecekteki çalışmalara ihtiyaç vardır

Anahtar Kelimeler:

Total intravenöz anestezi, İnhalasyon anestezisi, Robotik cerrahi

Effects of Three Different Methods of General Anesthesia on Postoperative Renal and Hepatic Functions in Robot-Assisted Laparoscopic Radical Prostatectomy Patients

Objective: We administered sevoflurane, desflurane and total intravenous anesthesia methods in robotic assisted laparoscopic radical prostatectomy RLRP patients and compared their effects on renal and liver functions. The effects of 3 different anesthesia methods on renal and liver functions in robotic assisted laparoscopic radical prostatectomy patients have not been studied.Material and Methods: A total of 193 patients underwent Total Intravenous Anesthesia TIVA for Sevoflurane, Desflurane or TIVA groups. Patient data was generated by scanning the electronic patient data system SARUS . Preoperative and postoperative laboratory findings of 3 groups were evaluated, and multivariate analysis was performed to isolate the effect of anesthesia types.Results: One hundred and ninety-three patients who underwent RLRP with a mean age of 63.96±6.17 were evaluated retrospectively. Data were collected from 48 patients in seroflurane group, 131 patients in desflurane group and 14 patients in TIVA group. In the TIVA group, compared to the Sevoflurane and Desflurane groups, there were advantages associated with the preservation of postoperative renal and liver functions and less intraoperative respiratory acidosis.Conclusion: TIVA was found to be well tolerated and a safe anesthesia technique for RLRP surgery. There is no other study comparing sevoflurane, desflurane, and TIVA one by one in RLRP surgery, and future studies are needed especially for revealing postoperative renal and hepatic values

Keywords:

Total intravenous anesthesia, Inhalation anesthesia, Robotic surgery,

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