Characteristics of patients undergoing robotic-assisted prostatectomy. Observational study

  • Guillermo Madrid a. Anesthesia Department, Fundación Santa Fe de Bogotá. Bogotá, Colombia. b. School of Medicine, Universidad El Bosque. Bogotá, Colombia. c. School of Medicine, Universidad de los Andes. Bogotá, Colombia. https://orcid.org/0000-0002-1956-8865
  • Enrique Arango a. Anesthesia Department, Fundación Santa Fe de Bogotá. Bogotá, Colombia. b. School of Medicine, Universidad El Bosque. Bogotá, Colombia. c. School of Medicine, Universidad de los Andes. Bogotá, Colombia. https://orcid.org/0000-0002-0766-2344
  • Leopoldo Ferrer a. School of Medicine, Universidad El Bosque. Bogotá, Colombia. b. School of Medicine, Universidad de los Andes. Bogotá, Colombia. https://orcid.org/0000-0001-6487-5947
  • Roberto Murillo a. Anesthesia Department, Fundación Santa Fe de Bogotá. Bogotá, Colombia. b. School of Medicine, Universidad El Bosque. Bogotá, Colombia. c. School of Medicine, Universidad de los Andes. Bogotá, Colombia.
  • Oswaldo Amaya a. Anesthesia Department, Fundación Santa Fe de Bogotá. Bogotá, Colombia. b. School of Medicine, Universidad El Bosque. Bogotá, Colombia. c. School of Medicine, Universidad de los Andes. Bogotá, Colombia. https://orcid.org/0000-0002-9214-3732
  • Juan Cortés Anesthesia Department, Fundación Santa Fe de Bogotá.
  • María Solórzano Anesthesia Department, Fundación Santa Fe de Bogotá.
  • Luis Eduardo Ramírez School of Medicine, Universidad El Bosque. Bogotá, Colombia.
  • Claudia Ariza School of Medicine, Universidad de los Andes. Bogotá, Colombia.
  • María Camila Montoya Anesthesia Department, Fundación Santa Fe de Bogotá. Bogotá, Colombia.
  • Felipe Gómez Urology Department, Fundación Santa Fe de Bogotá. Bogotá, Colombia.
  • Juan Ignacio Caicedo a. Urology Department, Fundación Santa Fe de Bogotá. Bogotá, Colombia. b. School of Medicine, Universidad de los Andes. Bogotá, Colombia. https://orcid.org/0000-0002-8131-5893
  • Fernando Raffán-Sanabria a. Anesthesia Department, Fundación Santa Fe de Bogotá. Bogotá, Colombia. b. School of Medicine, Universidad El Bosque. Bogotá, Colombia. c. School of Medicine, Universidad de los Andes. Bogotá, Colombia. https://orcid.org/0000-0002-1098-8214
  • Jairo Moyano a. Anesthesia Department, Fundación Santa Fe de Bogotá. Bogotá, Colombia. b. School of Medicine, Universidad El Bosque. Bogotá, Colombia. c. School of Medicine, Universidad de los Andes. Bogotá, Colombia. https://orcid.org/0000-0002-4534-4136
Keywords: General anesthesia, Analgesia, Prostatectomy, Robotic surgical procedure, Minimally invasive surgery

Abstract

Introduction: Prostatectomy is the standard treatment for patients with clinically localized prostate cancer. Currently, robot-assisted radical prostatectomy (RARP) is widely used for its advantages, as it provides better visualization, precision, and reduced tissue manipulation. However, RARP requires a multidisciplinary approach in which anesthesia and analgesia management are especially important.

Objective: This study aims to describe our experience delivering anesthesia for the first cases of patients undergoing RARP in a teaching hospital in Bogotá, Colombia.

Methodology: An observational study was conducted. We included all patients undergoing RARP from September 2015 to December 2019 at Fundación Santa Fe de Bogotá. All patients with incomplete data were excluded. Patient demographics were recorded, and significant perioperative events were reviewed.

Results: A total of 301 patients were included. At our institution, the mean age for patients undergoing RARP was 61.4 ± 6.7 years. The mean operative time was 205 ± 43 min and mean blood loss was 300 [200-400] mL. Only 6 (2%) patients required transfusion. Age and BMI were not associated with clinical outcomes.

Conclusions: An adequate perioperative approach in RARP is important to minimize complications, which in this study and in this institution were infrequent.

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How to Cite
1.
Madrid G, Arango E, Ferrer L, Murillo R, Amaya O, Cortés J, Solórzano M, Ramírez LE, Ariza C, Montoya MC, Gómez F, Caicedo JI, Raffán-Sanabria F, Moyano J. Characteristics of patients undergoing robotic-assisted prostatectomy. Observational study. Colomb. J. Anesthesiol. [Internet]. 2021Apr.16 [cited 2021Sep.27];49(4). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/984

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Published
2021-04-16
How to Cite
1.
Madrid G, Arango E, Ferrer L, Murillo R, Amaya O, Cortés J, Solórzano M, Ramírez LE, Ariza C, Montoya MC, Gómez F, Caicedo JI, Raffán-Sanabria F, Moyano J. Characteristics of patients undergoing robotic-assisted prostatectomy. Observational study. Colomb. J. Anesthesiol. [Internet]. 2021Apr.16 [cited 2021Sep.27];49(4). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/984
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