Letters to the Editor Open access

Role of spinal anesthesia in robot-assisted radical prostatectomy: Gamble or opportunity?

Authors

Published
5 June 2023
Section
Letters to the Editor
DOI
10.4081/aiua.2023.11311

Abstract

To the Editor, Although postoperative pain associated with robot-assisted radical prostatectomy (RARP) is less than pain following the open technique, it remains a fundamental issue as it can be a significant source of discomfort for the patient and lengthen recovery times after surgery. The optimal management of pain after RARP is far from being fully elucidated and many factors have to be evaluated to choose the best analgesic approach. [...]

References

  1. Joshi GP, Jaschinski T, Bonnet F, Kehlet H. PROSPECT collaboration. Optimal pain management for radical prostatectomy surgery: what is the evidence? BMC Anesthesiol. 2015; 15:159. DOI: https://doi.org/10.1186/s12871-015-0137-2
  2. Koh JC, Lee J, Kim SY, et al. Postoperative Pain and Intravenous Patient-Controlled Analgesia-Related Adverse Effects in Young and Elderly Patients: A Retrospective Analysis of 10,575 Patients. Medicine (Baltimore). 2015; 94:e2008. DOI: https://doi.org/10.1097/MD.0000000000002008
  3. Gontero P, Oderda M, Calleris G, et al. Awake Da Vinci robotic partial nephrectomy: First case report ever in a situation of need. Urol Case Rep. 2022; 42:102008. DOI: https://doi.org/10.1016/j.eucr.2022.102008
  4. Giampaolino P, Della Corte L, Mercorio A, et al. Laparoscopic gynecological surgery under minimally invasive anesthesia: a prospective cohort study. Updates Surg. 2022; 74:1755-1762. DOI: https://doi.org/10.1007/s13304-022-01310-9
  5. Dhawan R, Daubenspeck D, Wroblewski KE, et al. Intrathecal Morphine for Analgesia in Minimally Invasive Cardiac Surgery: A Randomized, Placebo-controlled, Double-blinded Clinical Trial. Anesthesiology. 2021; 135:864-876. DOI: https://doi.org/10.1097/ALN.0000000000003963
  6. Gao S, Wei J, Li W, et al. Accuracy of Robot-Assisted Percutaneous Pedicle Screw Placement under Regional Anesthesia: A Retrospective Cohort Study. Pain Res Manag. 2021; 2021:6894001. DOI: https://doi.org/10.21203/rs.3.rs-487003/v1
  7. Lee BM, Singh Ghotra V, Karam JA, et al. Regional anesthesia/analgesia and the risk of cancer recurrence and mortality after prostatectomy: a meta-analysis. Pain Manag. 2015; 5:387-95. DOI: https://doi.org/10.2217/pmt.15.30
  8. Pikramenos K, Zachou M, Apostolatou E, et al. The effects of method of anaesthesia on the safety and effectiveness of Radical Retropubic Prostatectomy. Arch Ital Urol Androl 2022; 94:396-400. DOI: https://doi.org/10.4081/aiua.2022.4.396
  9. Morgan MS, Ozayar A, Friedlander JI, et al. An Assessment of Patient Comfort and Morbidity After Robot-Assisted Radical Prostatectomy with Suprapubic Tube Versus Urethral Catheter Drainage. J Endourol. 2016; 30:300-5. DOI: https://doi.org/10.1089/end.2015.0206
  10. Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blockades in Sweden 1990-1999. Anesthesiology 2004; 101:950-9. DOI: https://doi.org/10.1097/00000542-200410000-00021
  11. Carpenter RL, Caplan RA, Brown DL, et al. Incidence and risk factors for side effects of spinal anesthesia. Anesthesiology 1992; 76:906-16. DOI: https://doi.org/10.1097/00000542-199206000-00006

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