Anaesthetic management of an educational laparoscopic radical prostatectomy: a case report

Hippokratia 2006, 10(2):85-87

Z Kanonidou, D Iordanidou, G Karistianou, H Giannakos, E Saridakis, M Davlis
3rd Anesthesiology Dpt, Hippokratio General Hospital, Thessaloniki, Greece


Laparoscopic radical prostatectomy is a relatively new surgical procedure, which combines the advantages of a laparoscopic surgery with the special considerations of radical prostatectomy. Unique issues that affect the anesthetic management are pneumoperitoneum, surgical position and the duration of the surgery. The purpose of this case report is to share our experience and difficulties we had to face during the first procedure of a laparoscopic radical prostatectomy in our hospital, to present the anesthesiologist’s considerations about the effects of this procedure on patient’s vital functions, as well as the methods followed to solve the problems. Our final target is the favorable outcome of emerging surgery and for that, thorough preoperative planning both from the urologists and the anesthesiologists is essential.

Keywords: laparoscopic, prostate, surgical position, pneumoperitoneum, ventilation, anestesia

Correspoding author: Kanonidou Z, Theophilou 7, Thessaloniki, Greece