Anesthesiological and surgical perspectives on using 8 mmHg versus 12 mmHg pneumoperitoneum pressures during robotic radical prostatectomy: Results of a prospective randomized study.
Ulus Travma Acil Cerrahi Derg
; 30(6): 430-436, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-38863292
ABSTRACT
BACKGROUND:
This study aims to compare the effects of 8 mmHg and 12 mmHg pneumoperitoneum (PNP) pressures on operative, postoperative, and anesthesiological parameters in robot-assisted laparoscopic radical prostatectomy (RARP).METHODS:
In this prospective study, 43 patients undergoing RARP performed by a single experienced surgeon were randomly assigned to either the low-pressure group (8 mmHg - Group I) or the standard-pressure group (12 mmHg - Group II). We evaluated the operative and postoperative parameters from both urological and anesthesiological perspectives. All patients were treated using the AirSeal® insufflation system.RESULTS:
No statistically significant differences were observed between the groups in terms of console time, estimated blood loss, time to first flatus, or hospital length of stay. PNP was increased due to bleeding in six patients in the 8 mmHg group and two patients in the 12 mmHg group. Except for the heart rate measured five minutes after the initial incision, there were no observed differences between the groups in terms of blood pressure, ventilation, and administered medications. The heart rate was significantly lower in Group I (54.4 vs. 68.8, p=0.006). Additionally, during the surgery, the number of manipulations performed by the anesthesiologists, including drug administrations and ventilator management, was significantly lower in Group I (6.1 vs. 9.6, p=0.041).CONCLUSION:
In RARP, while the 8 mmHg PNP pressure does not demonstrate differences in operative parameters compared to the 12 mmHg pressure, it offers the advantage of requiring fewer anesthetic interventions, thus minimizing the impact on cardiovascular and respiratory systems.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pneumoperitoneum, Artificial
/
Prostatectomy
/
Robotic Surgical Procedures
Limits:
Aged
/
Humans
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Male
/
Middle aged
Language:
En
Journal:
Ulus Travma Acil Cerrahi Derg
Year:
2024
Document type:
Article
Publication country:
TR
/
TURKEY
/
TURQUIA