Anesthetic Implications of Robotic-Assisted Radical Prostatectomy in a Patient with Immune Thrombocytopenia: a Case Report

Authors

  • Pannawit Benjhawaleemas Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Tanan Bejrananda Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Chanatthee Kirsiripant Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Chutida Sungworawongpana Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Ratikorn Boonchai Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110
  • Sarayuth Boonchai Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.

DOI:

https://doi.org/10.31584/psumj.2022254069

Keywords:

anesthesia in robotic surgery, case report, da Vinci Xi, immune thrombocytopenia, prostatic adenocarcinoma, robotic-assisted radical prostatectomy

Abstract

We report the first case of a robotic-assisted radical prostatectomy (RARP) operation at Songklanagarind Hospital. The patient was diagnosed with prostatic adenocarcinoma. He also had underlying immune thrombocytopenia (ITP) and suspected previous pulmonary tuberculosis. General anesthesia with an endotracheal tube was the choice of anesthesia. This article discusses specific considerations regarding robotic surgery and the patient’s condition. The operation was successful; it took about 160 minutes longer, incurred 200 ml more of blood loss, but it led to an equal length of hospital stay compared to the data from another tertiary hospital in Thailand. A minor complication was a pressure sore on the patient’s shoulder, conceivably due to the shoulder braces.

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Published

2022-09-28

How to Cite

1.
Benjhawaleemas P, Bejrananda T, Kirsiripant C, Sungworawongpana C, Boonchai R, Boonchai S. Anesthetic Implications of Robotic-Assisted Radical Prostatectomy in a Patient with Immune Thrombocytopenia: a Case Report. PSU Med J [Internet]. 2022 Sep. 28 [cited 2024 Nov. 20];2(3):129-35. Available from: https://he01.tci-thaijo.org/index.php/PSUMJ/article/view/254069

Issue

Vol. 2 No. 3 (2022): Sep-Dec

Section

Short Reports

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