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Robotic-Assisted Laparoscopic Radical Prostatectomy (RALRP) in a Patient with Sever Kyphoscoliosis, Ankylosing Spondylitis: A Case Report

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Surgery

Abstract

Background: Anatomical abnormalities in kyphoscoliosis [KS] is a huge challenge in patient positioning for robotic prostatectomy. The narrow pelvis limits the range of movement of the robotic instruments' and port placing could be an issue. Second, carful preoperative assessment prior to administration of anesthesia and pneumoperitoneum in robot-assisted radical prostatectomy [RRP] is crucial to reduce peri-operative cardio-pulmonary complications.
The Case: We report a successful use of robot in a patient with sever kyphoscoliosis for radical prostatectomy. He was a 58 years old male, overweight, with KS and history of cardiac stenting, bilateral total hip replacement. He had prostatic carcinoma. He is on antihypertensive medications, statins and bronchodilator inhalers. Auscultation revealed bronchovascular breathing with left base inspiratory crepitation.  He was Mallampati score III [difficult intubation], recurrent chest infection, and severe restriction of respiratory function.  The management had been performed under general anesthesia, in the supine-Trendelenburg-Lithotomy position before engaging the robot. The operative intervention showed stability of the patient except an episode of hypertension [an hour after starting surgery]. The total operative time [3 hours, 50 minutes]; the patient then transferred to intensive treatment unit for the next 12 hours. Postoperatively, backache is absent, drain removed 24 hours later; patient discharged after 48 hours, and catheter removed 10 days later. Histological examination showed adenocarcinoma of prostate, 35% of the gland with negative surgical margin.
Conclusion: We confirmed that, robotic assisted radical prostatectomy could be handled in Kyphoscoliosis,Ankylosing Spondylitis with satisfactory outcome, irrespective of both technical and anaesthetic difficulties

DOI

10.21608/ijma.2020.27024.1116

Keywords

Robotic, Radical Prostatectomy, Kyphoscoliosis, Ankylosing spondylitis, Case Report

Authors

First Name

Nabeel

Last Name

Kuwaijo

MiddleName

Joda

Affiliation

Department of Urology, Galway Clinic, Royal College of Surgeons, Ireland

Email

dr_kwaijo@yahoo.com

City

Hansfield Wood

Orcid

00353864559955

First Name

Mohammed

Last Name

AbiElmagd

MiddleName

Sayed

Affiliation

Department of Urology, Mater Misericordiae University Hospital, Dublin, Ireland

Email

mohammedaboelmagd@mater.ie

City

-

Orcid

-

First Name

Nicholas

Last Name

Hegarty

MiddleName

-

Affiliation

Department of Urology, Mater Misericordiae University Hospital, Dublin, Irel

Email

nick.hegarty@gstt.nhs.uk

City

-

Orcid

-

First Name

Kiaran

Last Name

O'Malley

MiddleName

-

Affiliation

Department of Urology, Mater Misericordiae University Hospital, Dublin, Ireland

Email

kiaranomalley@mater.ie

City

-

Orcid

-

First Name

Thomas

Last Name

Lynch

MiddleName

-

Affiliation

Department of Urology, Mater Misericordiae University Hospital, Dublin, Ireland

Email

lynchsec@joycelynch.ie

City

-

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-03-31

Publish Date

2020-10-01

Page Start

718

Page End

721

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 718-721.pdf

PDF . 264.7kB

Link

https://ijma.journals.ekb.eg/article_100628.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=100628

Order

6

Type

Case Report

Type Code

819

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Robotic-Assisted Laparoscopic Radical Prostatectomy (RALRP) in a Patient with Sever Kyphoscoliosis, Ankylosing Spondylitis: A Case Report

Details

Type

Article

Created At

22 Jan 2023