OUR INITIAL EXPERIENCE WITH LAPAROSCOPIC RADICAL CYSTECTOMY

Gavrilovska-Brazanov, Aleksandra and Mojsova, Maja and Petrusheva Panovska, Aleksandra and Shabani, Bashkim and Jovanovski-Srceva, Marija and Kuzmanovska, Biljana (2020) OUR INITIAL EXPERIENCE WITH LAPAROSCOPIC RADICAL CYSTECTOMY. Macedonian Journal of Anaesthesia, 4 (1). pp. 57-62. ISSN 2545-4366

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Abstract

Background and objectives: In this era of minimally invasive surgeries, at the University
Clinic for Urologic Surgery in Skopje, the laparoscopic radical cystectomy (LRS) was performed
in 11 patients for the first time. In this paper, we have evaluated and summarized the anesthesia
management, features and complications of LRC.
Material and method: In a retrospective manner, we evaluated all patents who underwent
LRC at our Clinic over a one-year period. We noted and analyzed the following parameters:
patients’ demographic data, preoperatively and postoperatively, laboratory data, intraoperative
fluid volume, estimated blood loss, allogeneic transfusion requirements. Respiratory parameters
including arterial blood gas data, anesthesia time, surgical time, time of oral intake, admission
to ICU, hospital stay and any adverse events during the whole period of hospitalization were
also analyzed.
Results: This evaluation included 11 patients who were successfully operated and their data
were analyzed. Patients had similar demographic characteristics. Estimated intraoperative blood
loss was 472 ml and decreased transfusion requirement was noticed. Due to prolonged surgical
time and CO2
pneumoperitoneum, hypercarbia was observed in few patients. Patients had shorter
period of bowel dysfunction and rapid oral intake, shorter hospital stay and fewer complications.
Conclusion: We believe that these data from our initial experience with newly performed
minimally invasive radical cystectomy will reflect to our daily routine practice in radical cystectomy surgery towards laparoscopy. However, some larger prospective evaluation is to be made
for summarizing the overall conclusions.
Key words: anesthesia consideration, laparoscopy, radical cystectomy

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Maja Mojsova Mijovska
Date Deposited:	31 Mar 2023 10:29
Last Modified:	31 Mar 2023 10:29
URI:	https://eprints.ugd.edu.mk/id/eprint/31570

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