机器人辅助腹腔镜根治性前列腺切除术麻醉管理的研究进展

摘要

随着微创外科学的不断发展，达芬奇机器人手术系统已经在泌尿外科领域得到了广泛的应用。近年来机器人辅助腹腔镜根治性前列腺切除术（Robot-assisted laparoscopic radical prostatectomy，RALRP）已经被泌尿外科医生的普遍接受，并逐渐取代了传统的开放性耻骨后前列腺癌根治术。由于这种手术方式的特点以及其所采取的Trendelenburg 体位对患者围手术期的生理状态以及血流动力学产生的巨大影响，使得麻醉医生面临巨大的挑战。本文旨在探讨麻醉医生在 RALRP 围手术期所面临的问题及如何进行更好的麻醉管理。%ABSTRACT:With constant development of minimally invasive surgery,the da Vinci surgery system has gained widespread use in urinary surgery.In recent years,robot-assisted laparoscopic radical prostatectomy (RALRP)has gained popularity among urologists,and gradually replaced traditional open radical retropubic prostatectomy.Because of the profound physiological and hemodynamic changes caused by procedure characteristics and steep Trendelenburg position in patients during perioperative period,anesthesiologists are facing huge challenges.The purpose of this article is to discuss the concerns facing the anesthesiologists in regard to RALRP during perioperative period and how to make better anesthetic management.