Awake Da Vinci robotic partial nephrectomy: First case report ever in a situation of need.
Awake
Case report
Laparoscopy
Renal cancer
Robotic
Spinal anesthesia
Journal
Urology case reports
ISSN: 2214-4420
Titre abrégé: Urol Case Rep
Pays: United States
ID NLM: 101626357
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
01
01
2022
revised:
16
01
2022
accepted:
20
01
2022
entrez:
7
2
2022
pubmed:
8
2
2022
medline:
8
2
2022
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 35127455
doi: 10.1016/j.eucr.2022.102008
pii: S2214-4420(22)00020-1
pmc: PMC8800021
doi:
Types de publication
Case Reports
Langues
eng
Pagination
102008Informations de copyright
© 2022 The Authors. Published by Elsevier Inc.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
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