Review of anesthesia for robotic-assisted radical prostatectomy: in comparison with radical retropubic prostatectomy

Na, Hyo Seok; Kim, Hye Young; Do, Sang Hwan; Jeon, Young Tae; Hwang, Jung Won; Oh, Ah Young

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Anesthesia and Pain Medicine 2009;4(4):364-367.
Published online October 31, 2009.

Review of anesthesia for robotic-assisted radical prostatectomy: in comparison with radical retropubic prostatectomy

Hyo Seok Na, Hye Young Kim, Sang Hwan Do, Young Tae Jeon, Jung Won Hwang, Ah Young Oh

¹Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. oay1@snubh.org
²Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.

Abstract

BACKGROUND
Robotic-assisted radical prostatectomy (RARP) using da Vinci(R) Surgical System is an emerging technique for management of prostate cancer. With retrospective chart review of patients who had RARP or radical retropubic prostatectomy (RRP), we tried to evaluate and compare the effects on the factors related to patients' outcomes. METHODS: We reviewed the data of 144 patients who underwent RARP (group R, n = 76) or RRP (group C, n = 68) under general anesthesia in the same time period retrospectively.The age, anesthesia time, transfusion rate, PACU time, administration of additional analgesics at PACU, admission day after the operation, postoperative complications and intraoperative PaCO2 were examined and compared. RESULTS: Group R showed significantly lower transfusion rate and more rapid discharge after the operation. Intraoperative PaCO2 was increased in process of time in group R. Other variables were not significantly different between the two groups.In group R, mild neuropathy occurred in 2 patients and subcutaneous emphysema occurred in 1 patient. CONCLUSION: Patients who had RARP needed significantly less transfusion during operation and significantly shorter admission time compared to patients who had RRP.

Key Words: Anesthesia, Neuropathy, Radical prostatectomy, Robotic, Transfusion

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