Awake Da Vinci robotic partial nephrectomy: First case report ever in a situation of need

Autor: Paolo Gontero, Marco Oderda, Giorgio Calleris, Marco Allasia, Roberto Balagna, Fabio Gobbi
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Urology Case Reports, Vol 42, Iss , Pp 102008- (2022)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2022.102008
Popis: We report a unique case of a robotic partial nephrectomy performed under continuous spinal anesthesia (CSA). A 63-year-old woman, active smoker with mild obesity and previous right pneumonectomy, was diagnosed with a growing 5.5-cm renal right cystic tumor. Being at high risk for general anesthesia, a loco-regional approach was indicated. Therefore, after multidisciplinary discussion, a robotic-assisted partial nephrectomy under CSA was considered mandatory. After T4-T5 sensory and motor block, retroperitoneoscopic robot-assisted surgery was successfully performed. Postoperative period was uneventful, with optimal pain control. This unique case demonstrates the feasibility of robotic surgery under CSA, for imperative indications.
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