Anesthetic concerns for robotic-assisted laparoscopic radical prostatectomy

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143 Scopus citations


The anesthetic concerns of patients undergoing robotic-assisted laparoscopic radical prostatectomy (RALP) are primarily related to the use of pneumoperitoneum in the steep Trendelenburg position. This combination will affect cerebrovascular, respiratory and hemodynamic homeostasis. Possible non-surgical complications range from mild subcutaneous emphysema to devastating ischemic optic neuropathy. The anesthetic management of RALP patients involves a thorough preoperative evaluation, careful positioning on the operative table, managing ventilation issues, and appropriate fluid management. Close coordination between the anesthesia and surgical teams is required for a successful surgery. This review will discuss the anesthetic concerns and perioperative management of patients presenting for RALP.

Original languageEnglish
Pages (from-to)596-604
Number of pages9
JournalMinerva Anestesiologica
Issue number5
StatePublished - May 2012


  • Anesthesia
  • Perioperative care
  • Prostatectomy


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