机器人辅助根治性前列腺切除术后双侧声门下血肿:一种罕见的并发症。

IF 1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Iñigo Rubio Baines, Antonio Martínez Simón, Francisco Javier Ancizu, Isidro Olavide, Cristina Honorato-Cía
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引用次数: 0

摘要

机器人辅助前列腺根治术是一项相对较新的技术。它的优点包括侵入性小,疼痛管理更好,但有特定的麻醉要求,如陡峭的特伦德伦堡体位和气腹。常见轻度并发症,如短暂性低血压或软组织水肿。我们报告了一例62岁的男性患者,他在手术后出现了与短暂神经损伤相关的声门下血肿。颈静脉功能不全被怀疑是最可能的原因。病人完全康复了。由于麻醉要求,机器人辅助前列腺根治术可能是一项具有挑战性的手术,但大多数并发症都是轻微和短暂的。然而,手术前应仔细评估患者。我们确定了可能导致这种并发症的潜在因素:异常延长的手术时间、陡峭的特伦德伦堡、未经评估的颈静脉功能不全和/或患者肥胖。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Bilateral subgaleal hematoma after a robot-assisted radical prostatectomy: an uncommon complication.

Bilateral subgaleal hematoma after a robot-assisted radical prostatectomy: an uncommon complication.

Bilateral subgaleal hematoma after a robot-assisted radical prostatectomy: an uncommon complication.

Robot-assisted radical prostatectomy is a relatively recent technique. Its advantages include less invasiveness and better pain management, but has specific anesthesia requirements, such as steep Trendelenburg position and pneumoperitoneum. Mild complications are common, e.g., transient hypotension or soft tissue edema. We present a case of a 62-year old male who developed subgaleal hematoma associated with transient neurologic impairment after surgery. Jugular vein insufficiency was suspected as the most likely cause. The patient recovered fully. Robot-assisted radical prostatectomy can be a challenging procedure due to the anesthesia requirements, but most complications are mild and transient. However, patients should be carefully assessed before surgery. We identified potential factors that may have led to this complication: the abnormal prolonged surgical time, the steep Trendelenburg, a non-assessed jugular vein insufficiency, and/or patient`s obesity.

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来源期刊
Anales Del Sistema Sanitario De Navarra
Anales Del Sistema Sanitario De Navarra 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.30
自引率
30.00%
发文量
88
审稿时长
>12 weeks
期刊介绍: La revista Anales del Sistema Sanitario de Navarra es una revista de contenido médico sanitario de carácter generalista. En ella tienen cabida artículos referidos a temas de salud/enfermedad en general, salud pública, administración y gestión sanitaria y Atención Primaria de salud.
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