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.

References

Ministerio de Salud y Protección Social, COLCIENCIAS. Guía de práctica clínica (GPC) para la detección temprana, seguimiento y rehabilitación del cáncer de próstata. Bogotá D.C.; 2013.

Ministerio de Salud y Protección Social. Observatorio Nacional de Cáncer. Bogotá D.C.; 2018.

Irvine M, Patil VMD. Anaesthesia for robot-assisted laparoscopic surgery. Contin Educ Anaesthesia. Crit Care Pain. 2009;9(4):125-9. doi: https://doi.org/10.1093/bjaceaccp/mkp020

Danic MJ, Chow M, Alexander G, Bhandari A, Menon M, Brown M. Anesthesia considerations for robotic-assisted laparoscopic prostatectomy: A review of 1,500 cases. J Robot Surg. 2007;1(2):119-23. doi: https://doi.org/10.1007/s11701-007-0024-z

Oksar M, Akbulut Z, Ocal H, Balbay MD, Kanbak O. Prostatectomía robótica: análisis anestesiológico de cirugías urológicas robóticas, un estudio prospectivo. Brazilian J Anesthesiol. 2014;64(5):307-13. doi: http://dx.doi.org/10.1016/j.bjanes.2013.10.009

Gutiérrez-Acar H, Olvera-Martínez R. Consideraciones anestésicas para prevenir complicaciones en cirugía robótica. Rev Mex Anestesiol. 2018;41:S98-9.

Stangelberger A, Waldert M, Djavan B. Prostate cancer in elderly men. Rev Urol. 2008;10(2):111-9.

Allott EH, Masko EM, Freedland SJ. Obesity and prostate cancer: Weighing the evidence. Eur Urol. 2013;63(5):800-9. doi: https://doi.org/10.1016/j.eururo.2012.11.013

Kim NY, Jang WS, Choi YD, Hong JH, Noh S, Yoo YC. Comparison of biochemical recurrence after robot-assisted laparoscopic radical prostatectomy with volatile and total intravenous anesthesia. Int J Med Sci. 2020;17(4):449-56. doi: https://doi.org/10.7150/ijms.40958

Kalmar AF, Foubert L, Hendrickx JFA, Mottrie A, Absalom A, Mortier EP, et al. Influence of steep Trendelenburg position and CO2 pneumoperitoneum on cardiovascular, cerebrovascular, and respiratory homeostasis during robotic prostatectomy. Br J Anaesth. 2010;104(4):433-9. doi: https://doi.org/10.1093/bja/aeq018

Ackerman RS, Cohen JB, Getting REG, Patel SY. Are you seeing this: the impact of steep Trendelenburg position during robot-assisted laparoscopic radical prostatectomy on intraocular pressure: a brief review of the literature. J Robot Surg. 2019;13(1):35-40. doi: http://dx.doi.org/10.1007/s11701-018-0857-7.

Choi ES, Jeon YT, Sohn HM, Kim DW, Choi SJ, In CB. Comparison of the effects of desflurane and total intravenous anesthesia on the optic nerve sheath diameter in robot assisted laparoscopic radical prostatectomy A randomized controlled trial. Med (United States). 2018;97(41):1-5. doi: https://doi.org/10.1097/MD.0000000000012772

Yu HD, Chou AH, Yang MW, Chang CJ. An analysis of perioperative eye injuries after nonocular surgery. Acta Anaesthesiol Taiwanica. 2010;48(3):122-9. doi: http://dx.doi.org/10.1016/S1875-4597(10)60043-4

Yoo YC, Shin S, Choi EK, Kim CY, Choi YD, Bai SJ. Increase in intraocular pressure is less with propofol than with sevoflurane during laparoscopic surgery in the steep Trendelenburg position. Can J Anesth. 2014;61(4):322-9. doi: https://doi.org/10.1007/s12630-014-0112-2

Yu J, Hong JH, Park JY, Hwang JH, Cho SS, Kim YK. Propofol attenuates the increase of sonographic optic nerve sheath diameter during robot-assisted laparoscopic prostatectomy: A randomized clinical trial. BMC Anesthesiol. 2018;18(1):1-8. doi: https://doi.org/10.1186/s12871-018-0523-7

Apfel CC, Kranke P, Katz MH, Goepfert C, Papenfuss T, Rauch S, et al. Volatile anaesthetics may be the main cause of early but not delayed postoperative vomiting: A randomized controlled trial of factorial design. Br J Anaesth. 2002;88(5):659-68. doi: https://doi.org/10.1093/bja/88.5.659

Apfel CC, Korttila K, Abdalla M, Kerger H, Turan A, Vedder I, et al. A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. N Engl J Med. 2004;350(24):2441-51. doi: https://doi.org/10.1056/NEJMoa032196

Gupta A, Stierer T, Zuckerman R, Sakima N, Parker SD, Fleisher LA. Comparison of recovery profile after ambulatory anesthesia with propofol, isoflurane, sevoflurane and desflurane: A systematic review. Anesth Analg. 2004;98(3):632-41. doi: https://doi.org/10.1213/01.ANE.0000103187.70627.57

Yonekura H, Hirate H, Sobue K. Comparison of anesthetic management and outcomes of robot-assisted vs pure laparoscopic radical prostatectomy. J Clin Anesth. 2016;35:281-6. doi: http://dx.doi.org/10.1016/j.jclinane.2016.08.014

Yoo YC, Bai SJ, Lee KY, Shin S, Choi EK, Lee JW. Total intravenous anesthesia with propofol reduces postoperative nausea and vomiting in patients undergoing robot-assisted laparoscopic radical prostatectomy: A prospective randomized trial. Yonsei Med J. 2012;53(6):1197-202. doi: https://doi.org/10.3349/ymj.2012.53.6.1197

Choi EM, Na S, Choi SH, An J, Rha KH, Oh YJ. Comparison of volume-controlled and pressure-controlled ventilation in steep Trendelenburg position for robot-assisted laparoscopic radical prostatectomy. J Clin Anesth. 2011;23(3):183-8. doi: http://dx.doi.org/10.1016/j.jclinane.2010.08.006

Webster TM, Herrell SD, Chang SS, Cookson MS, Baumgartner RG, Anderson LW, et al. Robotic assisted laparoscopic radical prostatectomy versus retropubic radical prostatectomy: A prospective assessment of postoperative pain. J Urol. 2005;174(3):912-4. doi: https://doi.org/10.1097/01.ju.0000169455.25510.ff

D’Alonzo RC, Gan TJ, Moul JW, Albala DM, Polascik TJ, Robertson CN, et al. A retrospective comparison of anesthetic management of robot-assisted laparoscopic radical prostatectomy versus radical retropubic prostatectomy. J Clin Anesth. 2009;21(5):322-8. doi: http://dx.doi.org/10.1016/j.jclinane.2008.09.005

How to Cite
1.
Madrid G, Arango E, Ferrer L, Murillo R, Amaya O, Cortés J, et al. Characteristics of patients undergoing robotic-assisted prostatectomy. Observational study. Colomb. J. Anesthesiol. [Internet]. 2021 Apr. 16 [cited 2024 Mar. 29];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, et al. Characteristics of patients undergoing robotic-assisted prostatectomy. Observational study. Colomb. J. Anesthesiol. [Internet]. 2021 Apr. 16 [cited 2024 Mar. 29];49(4). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/984
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