Özet:

Robotic radical prostatectomy is widely used in the treatment of prostate cancer. Robot-assisted laparoscopic radical prostatectomy is characterized by anesthesia management, patient age and profile, operation position and duration. Litotomy, deep Trendelenburg position, CO2 pnomoperitonyum may develop cardiovascular, respiratory, neurological complications. In this retrospective study, we aimed at studying our anesthesia experiences in patients using robotic-assisted laparoscopic radical prostatectomy, discussing our results in literature accompanying. Method: After the approval of the Ethics Board, 50 patients were assessed with robotic-assisted laparoscopic radical prostatectomy between 1 January 2018 and 30 September 2018. The demographic data of the patients, ASA scores, additional diseases, intraoperative anesthesia and analgesic method, developing complications, the amount of fluid and blood given intravenously, the duration of anesthesia, the duration of surgery, the duration of stay in intensive care, the duration of stay in the hospital were recorded. The average age of patients was 63.2±6.2 years. In anesthesia, inhalation anesthesia (sevofluran or desfluran) ± opioid (remifentanil) was observed.10 (% 20) patients had bradykardi, 2 (% 4) patients developed hypotension, 2 (% 4) patients needed blood products. The drugs used for postoperative analgesics were tramadol, parasetemol, nonsteroidal anti-inflammatory drug (NSAIDs), meperedin. All of the patients were removed on the operating table and taken to the intensive care unit for close tracking. 96% of patients are monitored in intensive care for one night, while the duration of stay in the hospital is 4.02±1.6 days. The result: Robot-assisted laparoscopic radical prostatectomy is a process characterized by the management of anesthesia. Taking the necessary measures for possible complications, the choice of the appropriate anesthetic agent, lung protection ventilation applications, coordination with the surgical team is the element in terms of anesthesia. Keywords: prostate cancer, prostatectomy, anesthesia ABSTRACT Objective:Robotic radical prostatectomy is commonly used in prostate cancer treatment. Anesthesia management in Robot-assisted laparoscopic radical prostatectomies has specialty due to the age and profile of the patient, operation position and operation time. In this retrospective study we aimed to investigate our anesthesia experiences in patients who underwent Robot-assisted laparoscopic .radical prostatectomy and to discuss the current literature. Methods:After approval of ethical committee 50 patients who underwent Robot-assisted laparoscopic .radical prostatectomy were investigated between 1 January 2018 and 30 September 2018. Demographic data, ASA scores, comorbidities, intraoperative anesthesia and analgesia management, complications, amounts of fluids and blood given intravenously , anesthesia duration, surgical duration, duration of intensive care unit and hospital stays were recorded. Results:The average age of patients was 63.2±6.2 years. Inhalation anesthesia (sevoflurane or desflurane) ± opioid (remifentanil) was the most anesthesia maintenance preferred. 10 (% 20) patient had bradicardia, 2(%4) patient had hypotension, 2 (% 4) patient received blood transfusion.Drugs used for postoperative analgesia were tramadol, paracetamol, nonsteroidal anti-inflammatory drugs (NSAIDs), meperedine. All of the patients were extubated in the operating room and were admitted to the intensive care unit (ICU). 96% of patients stayed one night in the ICU. The time of hospital stay was 4.02±1.6 days. Conclusion: In Robot-assisted laparoscopic radical prostatectomies anesthesia management is a special process. Taking precautions for complications, choice of suitable anesthetic agents, long protective strategies, being in accordance with the surgical team are essential for anesthesia. Keywords: prostate cancer, prostatectomy, anesthesia

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