Optic Nerve Sheath Diameter Remains Constant during Robot Assisted Laparoscopic Radical Prostatectomy

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Optic Nerve Sheath Diameter Remains Constant during Robot Assisted Laparoscopic Radical Prostatectomy

BACKGROUND During robot assisted laparoscopic radical prostatectomy (RALRP), a CO2 pneumoperitoneum (CO2PP) is applied and the patient is placed in a head-down position. Intracranial pressure (ICP) is expected to acutely increase under these conditions. A non-invasive method, the optic nerve sheath diameter (ONSD) measurement, may warn us that the mechanism of protective cerebrospinal fluid (CS...

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Robot-assisted Laparoscopic Radical Prostatectomy

206 현재 국소 전립선암의 치료에 있어 최선의 치료 방법은 근치적 전립선적출술이다. 지난 10여 년 동안 복강경 근치 적 전립선적출술은 기존의 개복 근치적 전립선적출술의 최 소 침습적인 수술법으로 발전되어 왔다. 그동안 알려진 복 강경 근치적 전립선적출술의 장점으로는 전체적인 성공률 은 개복 수술과 비교할 때 비슷하면서 재원기간의 감소, 술 후 위험도의 감소, 회복기간의 감소, 사회활동 복귀 기간의 단축, 출혈량의 감소 등이다. 1 본 기관에서도 복강경 근치적 전립선적출술을 시행하였으며 상기의 장점을 확인할 수 있 었다. 2 반면에 복강경 근치적 전립선적출술은 긴 학습시간, 숙련된 경험 없이 시행이 어려운 점, 손놀림의 거울효과 (counter-intuitive movements), 경성의 기구, 2...

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The role of the da Vinci robot is being defined in minimally invasive urologic surgery. Robot-assisted laparoscopic radical prostatectomy (rLRP) has emerged as a feasible treatment option for patients with organ-confined prostate cancer. We performed the first four rLRPs on four prostate cancer patients in the Republic of Korea. This is a report of its techniques and outcomes. In all four cases...

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Effect of Positive End-Expiratory Pressure on the Sonographic Optic Nerve Sheath Diameter as a Surrogate for Intracranial Pressure during Robot-Assisted Laparoscopic Prostatectomy: A Randomized Controlled Trial

BACKGROUND Positive end-expiratory pressure (PEEP) can increase intracranial pressure. Pneumoperitoneum and the Trendelenburg position are associated with an increased intracranial pressure. We investigated whether PEEP ventilation could additionally influence the sonographic optic nerve sheath diameter as a surrogate for intracranial pressure during pneumoperitoneum combined with the Trendelen...

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ژورنال

عنوان ژورنال: PLoS ONE

سال: 2014

ISSN: 1932-6203

DOI: 10.1371/journal.pone.0111916