Evaluation of anesthesia management in laparoscopic radical prostatectomy surgeries: A retrospective clinical study
Evaluation of anesthesia management in laparoscopic radical prostatectomy surgeries: A retrospective clinical study
Aim: Laparoscopic radical prostatectomy (LRP) provides effectively results on surgical, oncological and functional in patients with localized prostate cancer. LRP that has a rapid recovery, returning to normal life activities in a short time affects the quality of life positively. Furthermore mandatory of general anesthesia and specific patient position, long operation time and increased intra-abdominal pressure caused by the pneumoperitoneum leads the anesthesia management difficult. In this retrospective study, our purpose was to present the anesthesia method applied in LRP.Material and Methods: The patients, who underwent LRP between January 2016 and December 2018, were included in the study. The data were collected from patient files and anesthesia records. The ages, ASA, the agents used for induction and maintain anesthesia, duration of operation, amount of bleeding, postoperative analgesic application, IV infusion fluids, and invasive interventions provided on the patients were recorded.Results: The analyses of results of 27 patents were made in the present study. The average age of the patients who underwent LRP operation was 63.78±6.17. Five (18.5%) of them were ASA I; 14(51.9%) were ASA II, 8 (29.6%) were ASA III. Propofol or thiopental was used in anesthesia induction. Anesthesia was ensured with sevoflurane or desflurane. In the invasive interventions, central venous catheter, intra-arterial catheterization and lumbar epidural catheter were used. IV fluid infusion management was carried out with crystalloids or crystalloid and colloid combination. The postoperative analgesic management of a total of 19 (70.4%) patients was ensured epidural patient-controlled analgesics with morphine. 8 patients (29.6%) also were ensured with IV patient controlled analgesia with morphine.Conclusion: During laparoscopic prostatectomy detailed hemodynamic and perioperative monitoring should be ensured in anesthesia management since the surgical intervention has high risk.
___
- 1.
Gonzalgo ML, Pavlovich CP, Trock BJ, et al. Classificationandtrends of perioperative morbidities following laparoscopic radical prostatectomy J Urol 2005;174:135-9.
- 2.
Chao TE, Mandigo M, Opoku-Anane J, et al. Systematic review of laparoscopic surgery in low- and middle-income countries: benefits, challenges, andstrategies. Surgical Endoscopy 2016;30:1-10.
- 3.
Hayden P, Cowman S. Anaesthesia for laparoscopic surgery. Contin Educ Anaesth Crit Care Pain 2011;11:177-80.
- 4.
Guillonneau B, El-Fettouh H, Baumert H, et al: Laparoscopic radical prostatectomy: Oncological evaluation after 1000 cases at Montsouris Institute J Urol 2003;169:1261-6.
- 5.
Rassweiler J, Schulze M, Teber D, et al: Laparoscopic radical prostatectomy: Functional and oncological outcomes. Curr Opin Urol 2004;14:75-82.
- 6.
Erdoğru T, İshak Y, Kutlu Ö, et al. Laparoskopik radikal prostatektomi(Heilbronn Teknik) ile ilk sonuçlarımız. Türk Üroloji Dergisi 2005:31:547-54.
- 7.
Fracalanza S, Ficarra V, Cavalleri S, et al. Is robotic all assisted laparoscopic radical prostatectomy less invasive than retropubic radical prostatectomy? Results from a prospective, unrandomized, comparativestudy. BJU Int 2008;101:1145-9.
- 8.
Akçay M, Binbay M, Tepeler A, et al. Laparoskopik Radikal Prostatektomi Sonuçlarımız. Haseki Tıp Bülteni 2010;48:28-33.
- 9.
Rassweiler J, Sentker L, Seman O, et al: Heilbronn laparoscopic radical prostatectomy. Technique and results after 100 cases. Eur Urol 2001;40:54-64.
- 10.
Gerges FJ, Kanazi GE, Jabbour-Khoury SI. Anesthesia for laparoscopy: a review . J Clin Anesth 2006;18;67-78.
- 11.
El-Galley R, Hammontree L, Urban D, et al. Anesthesia for laparoscopic donor nephrectomy: is nitrous oxide contraindicated? J Urol 2007;178:225-7.
- 12.
Bhayani SB, Pavlovich CP, Hsu TS, et al. Prospective comparison of short-term convalescence: Laparoscopic radical prostatectomy versus open retropubic radical prostatectomy. Urology 2003;61:612-6.
- 13.
Görgen E, Şen H, Dere K, ark. Torakotomi ağrısı tedavisinde epidural hasta kontrollü analjezi yöntemi ile uygulanan levobupivakain ile levobupivakain + sufentanil kombinasyonunun karşılaştırılması. Türk Anest Rean Cem Mecmuası 2009;37:35-41.
- 14.
Hoznek A, Samadi DB, Salamon L, et al. Laparoscopic radical prostatectomy. Curr Urol Rep 2002;3:141-7.
- 15.
Danic MJ, Chow M, Alexander G, et al. Anesthesia considerations forrobotic-assisted laparoscopic prostatectomy: a review of 1,500 cases. J Robotic Surg 2007;1:119-23.
- 16.
Purkayastha S, Athanasiou T, Casula R, et al. Robotic surgery: a review. Hosp Med 2004;65:153-9.
- 17.
Sullivan MJ, Frost EA, Lew MW. Anesthetic care of the patient for robotic surgery. Middle East J Anesthesiol 2008;19:967-82.