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Lutfarakhmanov I.I.

Bashkir State Medical University

Syrchin E.Yu.

Bashkir State Medical University

Galeev I.R.

Bashkir State Medical University

Mironov P.I.

Bashkir State Medical University

Pavlov V.N.

Bashkir State Medical University

Central hemodynamic changes during robot-assisted radical prostatectomy depending on the type of anesthesia

Authors:

Lutfarakhmanov I.I., Syrchin E.Yu., Galeev I.R., Mironov P.I., Pavlov V.N.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2020;(6): 69‑76

DOI: 10.17116/anaesthesiology202006169

Read: 2649 times

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Table of contents

CENTRAL HEMODYNAMIC CHANGES DURING ROBOT-ASSISTED RADICAL PROSTATECTOMY DEPENDING ON THE TYPE OF ANESTHESIA
CENTRAL HEMODYNAMIC CHANGES DURING ROBOT-ASSISTED RADICAL PROSTATECTOMY DEPENDING ON THE TYPE OF ANESTHESIA

To cite this article:

Lutfarakhmanov II, Syrchin EYu, Galeev IR, Mironov PI, Pavlov VN. Central hemodynamic changes during robot-assisted radical prostatectomy depending on the type of anesthesia. Russian Journal of Anesthesiology and Reanimatology. 2020;(6):69‑76. (In Russ.)
https://doi.org/10.17116/anaesthesiology202006169

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Abstract:

OBJECTIVE

To evaluate the effect of various anesthetic approaches, pneumoperitoneum and steep Trendelenburg position on central hemodynamic parameters in patients with ASA class II—III undergoing robot-assisted radical prostatectomy (RARP).

MATERIAL AND METHODS

Fifty-seven patients were included in the groups of inhalational anesthesia with sevoflurane or total intravenous anesthesia with propofol (TIVA). Mean blood pressure (MBP), heart rate (HR), cardiac index (CI), and systemic vascular resistance index (SVRI) were compared between both groups before induction of anesthesia (T1), after tracheal intubation (T2), applying pneumoperitoneum (T3), transferring the patient to Trendelenburg position (T4), during dissection of dorsal venous complex (pneumoperitoneum 25 mm Hg and Trendelenburg position +30°, T5), after transferring to horizontal position (T6) and at the end of surgery (gas desufflation and tracheal extubation, T7 and T8, respectively). Between-group comparisons were made using independent Student’s t-test, within-group comparison — two-sided Bonferroni test.

RESULTS

Central hemodynamic parameters were similar in both groups, except for the time point T3, when MBP, HR and SVR were significantly lower in the TIVA group compared to the inhalational anesthesia group (p<0.01, p<0.05 and p<0.05 respectively). At the time point T4, MBP was the same, but between-group differences in HR was greater (p<0.01). There were no perioperative cardiovascular complications.

CONCLUSION

The main risk factors of perioperative hemodynamic disorders during RARP are pneumoperitoneum and steep Trendelenburg position. The type of general anesthesia is not a risk factor.

Keywords:

robot-assisted radical prostatectomy
cardiovascular system
central hemodynamics
general anesthesia

Authors:

Lutfarakhmanov I.I.

Bashkir State Medical University

Syrchin E.Yu.

Bashkir State Medical University

Galeev I.R.

Bashkir State Medical University

Mironov P.I.

Bashkir State Medical University

Pavlov V.N.

Bashkir State Medical University

Received:

08.06.2020

Accepted:

24.07.2020

Close metadata

References:

  1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA: a Cancer Journal for Clinicians. 2019;69(1):7-34.  https://doi.org/10.3322/caac.21551
  2. Kaprin AD, Stariski VV, Petrova GV. Sostoyanie onkologicheskoj pomoshchi naseleniyu Rossii v 2017 godu. M.: MNIOI im. P.A. Gercena — filial FGBU «NMIC radiologii» Minzdrava Rossii; 2018. (In Russ.).
  3. Abbou CC, Hoznek A, Salomon L, Olsson LE, Lobontiu A, Saint F, Cicco A, Antiphon P, Chopin D. Laparoscopic radical prostatectomy with a remote controlled robot. Journal of Urology. 2001;165(6 Pt 1):1964-1966. https://insights.ovid.com/article/00005392-200106000-00027
  4. Binder J, Kramer W. Robotically-assisted laparoscopic radical prostatectomy. BJU International. 2001;87(4):408-410.  https://doi.org/10.1046/j.1464-410x.2001.00115.x
  5. Pasticier G, Rietbergen JB, Guillonneau B, Fromont G, Menon M, Vallancien G. Robotically assisted laparoscopic radical prostatectomy: feasibility study in men. European Urology. 2001;40(1):70-74.  https://doi.org/10.1159/000049751
  6. Rassweiler J, Frede T, Seemann O, Stock C, Sentker L. Telesurgical laparoscopic radical prostatectomy. Initial experience. European Urology. 2001;40(1):75-83.  https://doi.org/10.1159/000049752
  7. Menon M, Hemal AK, Tewari A, Shrivastava A, Shoma AM, El-Tabey NA, Shaaban A, Abol-Enein H, Ghoneim MA. Nerve-sparing robot-assisted radical cystoprostatectomy and urinary diversion. BJU International. 2003;92(3):232-236.  https://doi.org/10.1046/j.1464-410X.2003.04329.x
  8. Díaz FJ, de la Peña E, Hernández V, López B, de La Morena JM, Martín MD, Jiménez-Valladolid I, Llorente C. Optimización de un programa de alta precoz tras prostatectomía radical laparoscópica. Actas Urológicas Españolas. 2014;38(6):355-360.  https://doi.org/10.1016/j.acuro.2013.12.004
  9. Farnham SB, Webster TM, Herrell SD, Smith JA Jr. Intraoperative blood loss and transfusion requirements for robotic-assisted radical prostatectomy versus radical retropubic prostatectomy. Urology. 2006;67(2):360-363.  https://doi.org/10.1016/j.urology.2005.08.029
  10. Kordan Y, Barocas DA, Altamar HO, Clark PE, Chang SS, Davis R, Herrell SD, Baumgartner R, Mishra V, Chan RC, Smith JA Jr, Cookson MS. Comparison of transfusion requirements between open and robotic-assisted laparoscopic radical prostatectomy. BJU International. 2010;106(7):1036-1040. https://doi.org/10.1111/j.1464-410X.2010.09233.x
  11. Novara G, Ficarra V, Rosen RC, Artibani W, Costello A, Eastham JA, Graefen M, Guazzoni G, Shariat SF, Stolzenburg JU, Van Poppel H, Zattoni F, Montorsi F, Mottrie A, Wilson TG. Systematic review and meta-analysis of perioperative outcomes and complications after robot-assisted radical prostatectomy. European Urology. 2012;62(3):431-452.  https://doi.org/10.1016/j.eururo.2012.05.044
  12. Saito J, Noguchi S, Matsumoto A, Jinushi K, Kasai T, Kudo T, Sawada M, Kimura F, Kushikata T, Hirota K. Impact of robot-assisted laparoscopic prostatectomy on the management of general anesthesia: efficacy of blood withdrawal during a steep Trendelenburg position. Journal of Anesthesia. 2015;29:487-491.  https://doi.org/10.1007/s00540-015-1989-9
  13. Tewari A, Srivasatava A, Menon M, Members of the VIP Team. A prospective comparison of radical retropubic and robot‐assisted prostatectomy: experience in one institution. BJU International. 2003;92(3):205-210.  https://doi.org/10.1046/j.1464-410X.2003.04311.x
  14. D’Alonzo RC, Gan TJ, Moul JW, Albala DM, Polascik TJ, Robertson CN, Sun L, Dahm P, Habib AS. A retrospective comparison of anesthetic management of robot-assisted laparoscopic radical prostatectomy versus radical retropubic prostatectomy. Journal of Clinical Anesthesia. 2009;21(5):322-328.  https://doi.org/10.1016/j.jclinane.2008.09.005
  15. Coelho RF, Palmer KJ, Rocco B, Moniz RR, Chauhan S, Orvieto MA, Coughlin G, Patel VR. Early complication rates in a single-surgeon series of 2500 robotic-assisted radical prostatectomies: report applying a standardized grading system. European Urology. 2010;57(6):945-957.  https://doi.org/10.1016/j.eururo.2010.02.001
  16. Lasser MS, Renzulli J II, Turini GA III, Haleblian G, Sax HC, Pareek G. An unbiased prospective report of perioperative complications of robot-assisted laparoscopic radical prostatectomy. Journal of Urology. 2010;75(5):1083-1089. https://doi.org/10.1016/j.urology.2009.09.082
  17. Lebeau T, Rouprêt M, Ferhi K, Chartier-Kastler E, Richard F, Bitker MO, Vaessen C. Assessing the complications of laparoscopic robot-assisted surgery: the case of radical prostatectomy. Surgical Endoscopy. 2011;25(2):536-542.  https://doi.org/10.1007/s00464-010-1210-z
  18. Secin FP, Jiborn T, Bjartell AS, Fournier G, Salomon L, Abbou CC, Haber GP, Gill IS, Crocitto LE, Nelson RA, Cansino Alcaide JR, Martínez-Piñeiro L, Cohen MS, Tuerk I, Schulman C, Gianduzzo T, Eden C, Baumgartner R, Smith JA, Entezari K, van Velthoven R, Janetschek G, Serio AM, Vickers AJ, Touijer K, Guillonneau B. Multi-institutional study of symptomatic deep venous thrombosis and pulmonary embolism in prostate cancer patients undergoing laparoscopic or robot-assisted laparoscopic radical prostatectomy. European Urology. 2008;53(1):134-145.  https://doi.org/10.1016/j.eururo.2007.05.028
  19. Hong JY, Oh YJ, Rha KH, Park WS, Kim YS, Kil HK. Pulmonary edema after da Vinci-assisted laparoscopic radical prostatectomy: a case report. Journal of Clinical Anesthesia. 2010;22(5):370-372.  https://doi.org/10.1016/j.jclinane.2009.05.010
  20. Thompson J. Myocardial infarction and subsequent death in a patient undergoing robotic prostatectomy. AANA Journal. 2009;77(5):365-371. 
  21. 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. Journal of Robotic Surgery. 2007;1(2):119-123.  https://doi.org/10.1007/s11701-007-0024-z
  22. Gainsburg DM. Anesthetic concerns for robotic-assisted laparoscopic radical prostatectomy. Minerva Anestesiologica. 2012;78(5):596-604. 
  23. Yonekura H, Hirate H, Sobue K. Comparison of anesthetic management and outcomes of robot-assisted vs pure laparoscopic radical prostatectomy. Journal of Clinical Anesthesia. 2016;35:281-286.  https://doi.org/10.1016/j.jclinane.2016.08.014
  24. Lutfarakhmanov II, Lazarev ST, Zdorik NA. Frequency of Dyspeptic Disorders with Total Intravenous Anaesthesia with Propofol Following Robot-Assisted Radical Prostatectomy. Kreativnaya hirurgiya i onkologiya. 2018;8(2):130-135. (In Russ.). https://doi.org/10.24060/2076-3093-2018-8-2-46-51
  25. 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 Medical Journal. 2012;53(6):1197-1202. https://doi.org/10.3349/ymj.2012.53.6.1197
  26. 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. Canadian Journal of Anesthesia. 2014;61(4):322-329.  https://doi.org/10.1007/s12630-014-0112-2
  27. 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. International Journal of Medical Science. 2020;17(4):449-456.  https://www.medsci.org/v17p0449.htm
  28. Falabella A, Moore-Jeffries E, Sullivan MJ, Nelson R, Lew M. Cardiac Function During Steep Trendelenburg Position and CO2 Pneumoperitoneum for Robotic-Assisted Prostatectomy: A Trans-Oesophageal Doppler Probe Study. The International Journal of Medical Robotics and Computer Assisted Surgery. 2007;3(4):312-315.  https://doi.org/10.1002/rcs.165
  29. Haas S, Haese A, Goetz AE, Kubitz JC. Haemodynamics and cardiac function during robotic-assisted laparoscopic prostatectomy in steep Trendelenburg position. The International Journal of Medical Robotics and Computer Assisted Surgery. 2011;7(4):408-413.  https://doi.org/10.1002/rcs.410
  30. Kadono Y, Yaegashi H, Machioka K, Ueno S, Miwa S, Maeda Y, Miyagi T, Mizokami A, Fujii Y, Tsubokawa T, Yamamoto K, Namiki M. Cardiovascular and respiratory effects of the degree of head-down angle during robot-assisted laparoscopic radical prostatectomy. The International Journal of Medical Robotics and Computer Assisted Surgery. 2013;9(1):17-22.  https://doi.org/10.1002/rcs.1482
  31. Kalmar AF, Foubert L, Hendrickx JFA, Mottrie A, Absalom A, Mortier EP, Struys MMRF. Influence of steep Trendelenburg position and CO2 pneumoperitoneum on cardiovascular, cerebrovascular, and respiratory homeostasis during robotic prostatectomy. British Journal of Anaesthesia. 2010;104(4):433-439.  https://doi.org/10.1093/bja/aeq018
  32. Matanes E, Weissman A, Rivlin A, Lauterbach R, Amit A, Wiener Z, Lowenstein L. Effects of Pneumoperitoneum and the Steep Trendelenburg Position on Heart Rate Variability and Cerebral Oxygenation during Robotic Sacrocolpopexy. Journal of Minimally Invasive Gynecology. 2018;25(1):70-75.  https://doi.org/10.1016/j.jmig.2017.07.009
  33. Oksar M, Akbulut Z, Ocal H, Balbay MD, Kanbak O. Robotic Prostatectomy: The Anesthetist’s View for Robotic Urological Surgeries, a Prospective Study. Brazilian Journal of Anesthesiology (English Edition). 2014;64(5):307-313.  https://doi.org/10.1016/j.bjan.2013.10.009
  34. Ono N, Nakahira J, Nakano S, Sawai T, Minami T. Changes in cardiac function and hemodynamics during robot-assisted laparoscopic prostatectomy with steep head-down tilt: a prospective observational study. BMC Research Notes. 2017;10(1):341.  https://doi.org/10.1186/s13104-017-2672-z
  35. Rosendal C, Markin S, Hien MD, Motsch J, Roggenbach J. Cardiac and hemodynamic consequences during capnoperitoneum and steep Trendelenburg positioning: lessons learned from robot-assisted laparoscopic prostatectomy. Journal of Clinical Anesthesia. 2014;26(5):383-389.  https://doi.org/10.1016/j.jclinane.2014.01.014
  36. Lestar M, Gunnarsson L, Lagerstrand L, Wiklund P, Odeberg-Wernerman S. Hemodynamic perturbations during robot-assisted laparoscopic radical prostatectomy in 45 ° Trendelenburg position. Anesthesia and Analgesia. 2011;113(5):1069-1075. https://doi.org/10.1213/ANE.0b013e3182075d1f
  37. Meininger D, Westphal K, Bremerich DH, Runkel H, Probst M, Zwissler B, Byhahn C. Effects of posture and prolonged pneumoperitoneum on hemodynamic parameters during laparoscopy. World Journal of Surgery. 2008;32(7):1400-1405. https://doi.org/10.1007/s00268-007-9424-5
  38. Chin JH, Lee EH, Hwang GS, Hwang JH, Choi WJ. Prediction of Fluid Responsiveness Using Dynamic Preload Indices in Patients Undergoing Robot-Assisted Surgery with Pneumoperitoneum in the Trendelenburg Position. Anaesthesia and Intensive Care. 2013;41(4):515-522.  https://doi.org/10.1177/0310057X1304100413
  39. 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. Journal of Clinical Anesthesia. 2011;23(3):183-188.  https://doi.org/10.1016/j.jclinane.2010.08.006
  40. La Falce S, Novara G, Gandaglia G, Umari P, De Naeyer G, D’Hondt F, Beresian J, Carette R, Penicka M, Mo Y, Vandenbroucke G, Mottrie A. Low Pressure Robot-assisted Radical Prostatectomy with the AirSeal System at OLV Hospital: Results From a Prospective Study. Clinical Genitourinary Cancer. 2017;15(6):e1029-e1037. https://doi.org/10.1016/j.clgc.2017.05.027
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